Dr Kushal Shukla, MD | |
613 Park Ave Fl 2, East Orange, NJ 07017-1905 | |
(973) 672-8573 | |
(973) 766-8099 |
Full Name | Dr Kushal Shukla |
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Gender | Male |
Speciality | Internal Medicine |
Location | 613 Park Ave Fl 2, East Orange, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538665245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA11245100 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Mailing Address | Practice Location Address |
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Dr Kushal Shukla, MD 1213 Francyne Way, Union, NJ 07083-5818 Ph: (973) 597-8425 | Dr Kushal Shukla, MD 613 Park Ave Fl 2, East Orange, NJ 07017-1905 Ph: (973) 672-8573 |
Tara Rajiyah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 Evergreen Pl Ste 4, East Orange, NJ 07018 Phone: 973-395-1550 | |
Mrs. Indu N Vira, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 Evergreen Place, Suite 400, East Orange, NJ 07018 Phone: 973-395-1550 Fax: 973-395-1556 | |
Dr. Vijay Ragavan, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave, Va New Jersey Healthcare System, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7003 | |
Dr. Amrutha Viswanatha, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 | |
Dr. Sithiporn Sastrasinh, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave., Medical Service (111), East Orange, NJ 07018 Phone: 973-395-7771 | |
Mr. Kulandaivelu Chandrasekaran, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave Ste 9-167 Msc 111, Veterans Affairs Medical Center, East Orange, NJ 07018 Phone: 973-676-1000 | |
Dr. Nabeel Obaid, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 310 Central Ave, Suite 102, East Orange, NJ 07018 Phone: 201-512-9494 |