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Contact Information

DINESH SHUKLA, MD
625 BELLE TERRE RD
SUITE 205
PORT JEFFERSON, NY11777-2316
 Phone: 631-331-0776
 Fax: 631-473-4760
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for DINESH SHUKLA · (Male)

NPI # 1033102280
Status Active
Credentials MD
Entity Individual
Enumeration date 08/23/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 141530
  • NY Medicaid 00720892
Hospital affiliation(s)
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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