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Dinesh Shukla, MD
Neurology Physician in Port Jefferson, New York
NPI 1033102280

Dinesh Shukla is a Neurology Physician based in Port Jefferson, NY and is specialized in Neurology. Dinesh Shukla practices in Port Jefferson, NY and has the professional credentials of MD. The NPI Number for Dinesh Shukla is 1033102280 and holds a License No. 141530 (New York).

The current practice location address for Dinesh Shukla is 625 Belle Terre Rd, Port Jefferson, NY and can be reached out via phone at 631-331-0776 and via fax at 631-473-4760.

Location: 625 Belle Terre Rd, Port Jefferson, NY, 11777-2316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033102280
Provider Name
Dinesh Shukla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
625 Belle Terre Rd, Port Jefferson, NY, 11777-2316
Phone Number
631-331-0776
Fax Number
631-473-4760
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00720892 05 NY
institution
Provider Business Practice Location Address Details
Address
625 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-2316
Phone Number
631-331-0776
Fax Number
631-473-4760
person
Provider Business Mailing Address Details
Address
625 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-2316
Phone Number
631-331-0776
Fax Number
631-473-4760
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
141530 (New York)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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