Shukla, Dinesh
Shukla, Dinesh is an individual health care provider with primary practice located at 625 Belle Terre Rd Suite 205, Port Jefferson NY 11777-2316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Shukla, Dinesh can be contacted via phone (631) 331-0776.Contact Information
Primary practice address
625 Belle Terre Rd Suite 205
Port Jefferson NY 11777-2316
Phone: (631) 331-0776
Fax: (631) 473-4760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 141530 | New York |
Profile Details
| NPI number | 1033102280 |
|---|---|
| LBN Legal business name | Shukla, Dinesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033102280 | NPPES |
| New York | MEDICAID | 00720892 |
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