Individual
JENAN NADIM SHUKRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
72780 COUNTRY CLUB DR STE 205, RANCHO MIRAGE, CA 92270-4150
(760) 834-3540
(760) 834-3590
Mailing address
72780 COUNTRY CLUB DR STE 205, RANCHO MIRAGE, CA 92270-4150
(760) 834-3540
(760) 834-3590
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
125.074930
IL
2084V0102X
Vascular Neurology Physician
036165201
IL
2084V0102X
Vascular Neurology Physician
Primary
A198119
CA
Other
Enumeration date
03/27/2019
Last updated
08/05/2024
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