DR. GAURAV SHUKLA (NPI# 1194068841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194068841 |
Entity Type | Individual |
Full Name | DR. GAURAV SHUKLA |
Credential | M.D., PH.D. |
Practice Address |
4701 Ogletown Stanton Rd Ste 1110 Newark DE 19713-2079 |
Mailing Address |
4701 Ogletown Stanton Rd Ste 1109 Newark DE 19713-2079 |
Practice Telephone | 3026234800 |
Mailing Telephone | 3026234800 |
Enumeration Date | 2013-04-01 |
Last Update Date | 2019-07-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD464808 | PA | Allopathic & Osteopathic Physicians |
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
C1-0012765 | DE | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689102352 | Gaurav Shukla | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center 100 North Academy Ave, Danville, PA 17822-9800 | 2017-05-25 |
Street Address |
4701 OGLETOWN STANTON RD STE 1110 |
City | NEWARK |
State | DE |
Zip Code | 19713-2079 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
Find all providers in zip 19713 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497739478 | Newark Radiation Oncology, Inc. | Radiology | 115 Mcmillen Dr, Newark, OH 43055-1808 | 2005-12-02 |
1326350471 | Adam C Maier | Radiology | 115 Mcmillen Dr, Newark, OH 43055-1808 | 2010-07-06 |
1437479292 | Lindsay Brown Romak | Radiology | 4701 Ogletown Stanton Rd, Newark, DE 19713-2055 | 2010-06-03 |
1558503797 | University Physician Associates of New Jersey, Inc. | Radiology | 205 S Orange Ave, Newark, NJ 07103-2785 | 2009-04-02 |
1225296668 | Lana Maria De Souza Lawrence | Radiology | 4701 Ogletown Stanton Rd, Ste 1109, Newark, DE 19713-2079 | 2008-05-31 |
1578698601 | East Coast Radiation Oncology Associates Newark Beth Israel, Pa | Radiology | 201 Lyons Ave, Dept of Radiation Oncology - E2, Newark, NJ 07112-2027 | 2007-02-22 |
1447273628 | Charles Stewart Cathcart | Radiology | 150 Bergen St, Level A- Room 1020, Newark, NJ 07103-2496 | 2006-07-26 |
1679517932 | Christopher D Koprowski | Radiology | 4701 Ogletown Stanton Rd, Ste 1109, Newark, DE 19713-2079 | 2006-06-16 |
1538103551 | Sunjay A Shah | Radiology | 4701 Ogletown Stanton Rd, Ste 1109, Newark, DE 19713-2079 | 2006-06-16 |
1871537894 | Jon F Strasser | Radiology | 4701 Ogletown Stanton Rd, Ste 1109, Newark, DE 19713-2079 | 2006-06-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.