MRUGANK SHUKLA

MAIN STREET RADIOLOGY AT BAYSIDE,LLC

Dr MRUGANK SHUKLA is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2006 from State University Of New York Downstate Medical Center.

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MAIN STREET RADIOLOGY AT BAYSIDE,LLC

13625 37TH AVE
FLUSHING
NY
113544169

Tel: 7184281500

MRUGANK SHUKLA Information

Npi 1013289263
Pac Id 6800034836
Professional Enrollment Id I20131009000064
Last Name SHUKLA
First Name MRUGANK
Middle Name
Suffix
Gender M
Credential
Medical School Name STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year 2006
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MAIN STREET RADIOLOGY AT BAYSIDE,LLC
Group Practice Pac Id 5395732671
Number Of Group Practice Members 38
Line 1 Street Address 13625 37TH AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FLUSHING
State NY
Zip Code 113544169
Phone Number 7184281500
Hospital Affiliation Ccn 1 330055
Hospital Affiliation Lbn 1 NEW YORK-PRESBYTERIAN/QUEENS
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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