Shukla, Mrinal
Shukla, Mrinal is an sole proprietor health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Shukla, Mrinal can be contacted via phone (601) 815-2005.Contact Information
Primary practice address
2500 N State St
Jackson MS 39216-4500
Phone: (601) 815-2005
Fax: (601) 815-0434
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 080579 | Georgia |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 31345 | Mississippi |
Profile Details
NPI number | 1912297557 |
---|---|
LBN Legal business name | Shukla, Mrinal |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 16th, 2011 |
Last updated | Jun 3rd, 2024 - about 5 months 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.
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