Mrinal Shukla (NPI# 1912297557, PAC ID# 1355646159) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1912297557 |
| PAC ID by PECOS | 1355646159 |
| Professional Enrollment ID | I20180921003059 |
| Full Name | Mrinal Shukla |
| Organization Legal Name | AU MEDICAL ASSOCIATES INC |
| Address |
1003 Chafee Ave Augusta GA 30904-5867 |
| Phone Number | 7067212426 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 9931013513 |
| Number of Group Practice Members | 423 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110034 | GEORGIA HEALTH SCIENCES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1003 Chafee Ave, Augusta, GA 30904-5867 | 7067212426 | AU MEDICAL ASSOCIATES INC |
| 1120 15th St, Augusta, GA 30912-0004 | 7067246100 | AU MEDICAL ASSOCIATES INC |
| Organization Legal Name | AU MEDICAL ASSOCIATES INC |
| Physicians | 385 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Machli Adrien | Podiatry | Au Medical Associates Inc | 901 Magnolia Dr, Aiken, SC 29803-7309 |
| Joseph Peter Hernandez Iii | Psychiatry | Au Medical Associates Inc | 997 Saint Sebastian Way, Augusta, GA 30912-2613 |
| Hamer Manning Titus | Obstetrics/gynecology | Au Medical Associates Inc | 4300 University Pkwy, Evans, GA 30809-3063 |
| Kenneth John Vega | Gastroenterology | Au Medical Associates Inc | 604 Riverside Ave, Waycross, GA 31501-5323 |
| Jennifer Lanzer | Obstetrics/gynecology | Au Medical Associates Inc | 2824 Hillcreek Dr, Augusta, GA 30909-5628 |
| Jack Ellis | Internal Medicine | Au Medical Associates Inc | 1120 15th St, Augusta, GA 30912-0004 |
| Soumia Brakta | Obstetrics/gynecology | Au Medical Associates Inc | 810 Chafee Ave, Augusta, GA 30904-5806 |
| Humberto Sifuentes | Gastroenterology | Au Medical Associates Inc | 2011 Westend Dr, Greensboro, GA 30642-5146 |
| Charlton Pickett | Family Medicine | Au Medical Associates Inc | 1417 Pendleton Rd, Augusta, GA 30904-4837 |
| Stephanie L Goei | Ophthalmology | Au Medical Associates Inc | 1220 W Wheeler Pkwy, Augusta, GA 30909-6625 |
| Street Address |
1003 CHAFEE AVE |
| City | AUGUSTA |
| State | GA |
| Zip | 30904-5867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vijay S Patel | Cardiac Surgery | Au Medical Associates Inc | 1003 Chafee Ave, Augusta, GA 30904-5867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Calvin Jackson | Internal Medicine | Csra Medical Associates | 2123 Wrightsboro Rd, Augusta, GA 30904-2304 |
| Doris Elizabeth Tummillo | Cardiovascular Disease (cardiology) | 2050 Walton Way, Augusta, GA 30904-2305 | |
| Zulfiqar Ahmed | Internal Medicine | 2316 Wrightsboro Rd, Augusta, GA 30904-2316 | |
| Robert E Milhous | Chiropractic | 2321 Washington Rd, Augusta, GA 30904-3105 | |
| Joseph Waldo Griffin Jr. | Gastroenterology | Harrisburg Family Health Care, Inc. | 423 Crawford Ave, Augusta, GA 30904-3641 |
| Terrence James Cook | Allergy/immunology | Harrisburg Family Health Care, Inc. | 423 Crawford Ave, Augusta, GA 30904-3641 |
| Carol Collica | Physical Therapy | Neuro-developmental Treatment Programs, Inc. | 817 Crawford Ave, Augusta, GA 30904-3772 |
| Anne Griffith | Physical Therapy | Neuro-developmental Treatment Programs, Inc. | 817 Crawford Ave, Augusta, GA 30904-3772 |
| Monica K Ridlehoover | Occupational Therapy | Neuro-developmental Treatment Programs, Inc. | 817 Crawford Ave, Augusta, GA 30904-3772 |
| Judith C Bierman | Physical Therapy | Neuro-developmental Treatment Programs, Inc. | 817 Crawford Ave, Augusta, GA 30904-3772 |
| Find all physicians in zip 30904 | |||
| City | AUGUSTA |
| Zip Code | 30904 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | AUGUSTA + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Mrinal Shukla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.