Individual provider · Type 1 NPI

Rakendu Prakash Shukla, MD

Radiation Oncology Physician · Hiram, GA

NPI number 1316387137 Active

Practice location

148 Bill Carruth Pkwy Ste LL30
Hiram, GA 30141-3768

Fax (770) 443-6654

Mailing address

148 Bill Carruth Parkway Suite LL30
Hiram, GA 30141

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Radiation Oncology Physician Primary 2085R0001X85977 (GA)

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

2 other providers at this address

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About NPI 1316387137

Rakendu Prakash Shukla, MD's National Provider Identifier is 1316387137, issued on Jun 25, 2013. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Hiram, GA. The record was last updated on Oct 2, 2020.