Individual provider · Type 1 NPI

Pratik A. Shukla, MD

Diagnostic Radiology Physician · Newark, NJ

NPI number 1457614141 Active

Practice location

150 Bergen St # Streetc
Newark, NJ 07103

Call (973) 972-5188 Map

Mailing address

30 Bergen Street, Building 12 Room 1205
Newark, NJ 07107-3000

Other practice locations

801 Ostrum St, Bethlehem, PA 18015-1000 · (484) 526-4000
30 Bergen St # 121205, Newark, NJ 07107 · (973) 972-0037

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	MT202262 (PA)
Diagnostic Radiology Physician Primary	2085R0202X	25MA10336900 (NJ)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1457614141

Pratik A. Shukla, MD's National Provider Identifier is 1457614141, issued on Jun 19, 2012. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Newark, NJ. The record was last updated on Mar 27, 2019.