National Provider Identifier Database

SAAD A SHUKRI, MD – NPI #1487726584
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

SAAD A SHUKRI, MD
629 ROUTE 112 STE 8
EAST PATCHOGUE, NY11772-1335
Phone: 631-447-8697
Fax: 631-447-0913
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for SAAD A SHUKRI

NPI Number 1487726584
Credentials MD
Entity Individual
Enumeration date 11/14/2006
Last updated 05/02/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 211205
  • NY Medicaid: 02011287
Hospital affiliation n/a

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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