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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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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