Individual provider · Type 1 NPI

Mohammed Rafea Adnan Shukri, MD

Student in an Organized Health Care Education/Training Program · Port Jefferson, NY

NPI number 1215877337 Active

Practice location

75 N Country Rd
Port Jefferson, NY 11777-2190

Call (631) 686-2549 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215877337

Mohammed Rafea Adnan Shukri, MD's National Provider Identifier is 1215877337, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Port Jefferson, NY. The record was last updated on Mar 30, 2026.