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Rakendu Prakash Shukla, MD
Radiation Oncology Physician in Hiram, Georgia
NPI 1316387137

Rakendu Prakash Shukla is a Radiation Oncology Physician based in Hiram, GA and is specialized in Radiation Oncology. Rakendu Prakash Shukla practices in Hiram, GA and has the professional credentials of MD. The NPI Number for Rakendu Prakash Shukla is 1316387137 and holds a License No. (Georgia).

The current practice location address for Rakendu Prakash Shukla is 148 Bill Carruth Pkwy Ste Ll30, Hiram, GA and can be reached out via phone at 770-505-3855 and via fax at 770-443-6654.

Location: 148 Bill Carruth Pkwy Ste Ll30, Hiram, GA, 30141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316387137
Provider Name
Rakendu Prakash Shukla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
148 Bill Carruth Pkwy Ste Ll30, Hiram, GA, 30141
Phone Number
770-505-3855
Fax Number
770-443-6654
Provider Enumeration Date
06/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
148 Bill Carruth Pkwy Ste Ll30
City
Hiram
State
Georgia
Zip
30141-3768
Phone Number
770-505-3855
Fax Number
770-443-6654
person
Provider Business Mailing Address Details
Address
148 Bill Carruth Pkwy Ste Ll30
City
Hiram
State
Georgia
Zip
30141-3768
Phone Number
770-505-3855
Fax Number
770-443-6654
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
85977 (Georgia)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Oregon)
Definition
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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