Mrugank Shukla (NPI# 1013289263, PAC ID# 6800034836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1013289263 |
| PAC ID by PECOS | 6800034836 |
| Professional Enrollment ID | I20131009000064 |
| Full Name | Mrugank Shukla |
| Organization Legal Name | MAIN STREET RADIOLOGY AT BAYSIDE,LLC |
| Address |
3225 Francis Lewis Blvd Flushing NY 11358-1922 |
| Phone Number | 7184281500 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2006 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5395732671 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330055 | NEW YORK-PRESBYTERIAN/QUEENS |
| Address | Phone | Organization |
|---|---|---|
| 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 | 7184281500 | MAIN STREET RADIOLOGY AT BAYSIDE,LLC |
| 8314 Cooper Ave, Suite C, Glendale, NY 11385-7722 | 7184281500 | MAIN STREET RADIOLOGY AT BAYSIDE,LLC |
| 20 Longfellow Rd, Great Neck, NY 11023-1912 | 7184281500 | RADIOLOGY OF MAIN STREET PC |
| 7206 Northern Blvd, Jackson Heights, NY 11372-1049 | 7184281500 | MAIN STREET RADIOLOGY AT BAYSIDE,LLC |
| 56 Fairfield Ln, Roslyn Heights, NY 11577-1432 | 7184281500 | RADIOLOGY OF MAIN STREET PC |
| Organization Legal Name | MAIN STREET RADIOLOGY AT BAYSIDE,LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kory Byrns | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 16625 Powells Cove Blvd, Apt 21h, Beechhurst, NY 11357-1528 |
| Mohammed B Shaikh | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 2 Robbins Dr, East Williston, NY 11596-2008 |
| Iakovos Koutras | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 12 Pintail Ln, Greenwich, CT 06830-6722 |
| Jeffrey C Lee | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 11 Hemlock Rise, Armonk, NY 10504-3000 |
| Anthony Italiano | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 13625 37th Ave, Flushing, NY 11354-4169 |
| Kornylo D Chorny | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 211 Midland Ave, Rye, NY 10580-3834 |
| Heather I Frimmer | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 11 Whitewood Hollow Ct, Ridgefield, CT 06877-3405 |
| Richard Aaron Marshall | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| John P Derosa | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| Neil Thayil | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| Street Address |
3225 FRANCIS LEWIS BLVD |
| City | FLUSHING |
| State | NY |
| Zip | 11358-1922 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Aaron Marshall | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| John P Derosa | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| Neil Thayil | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| Han Kim | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| Leslie J Feld | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| Erik R Rios | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| Maura L Noordhoorn | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| Avtar S Raince | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| Sam E. Altman | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| Lai M Yu | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronnie P Bargayo | Physical Therapy | 158 -14 Northern Blvd, Second Floor Suite Ul 3, Flushing, NY 11358 | |
| Andrea F Pedron | Physical Therapy | Palo Physical Therapy and Rehabilitation PC | 158 -14 Northern Blvd, Second Floor Suite Ul 3, Flushing, NY 11358 |
| Dayanand V Huded | Nephrology | Nephrology Medical Care Pllc | 2604 169th St, Flushing, NY 11358-1131 |
| Vincent A Puccia | Internal Medicine | 2604 169th St, Flushing, NY 11358-1131 | |
| Jose A Chan | Optometry | 25 -37a Francis Lewis Blvd, Flushing, NY 11358-1142 | |
| Stephen P Esposito | Gastroenterology | 2619 Francis Lewis Blvd, Flushing, NY 11358-1145 | |
| Ross O Chavkin | Oral Surgery | 2730 Francis Lewis Blvd, Flushing, NY 11358-1147 | |
| Ivan Lam | Chiropractic | 15814 Northern Blvd, Suite Ul3, Flushing, NY 11358-1600 | |
| Judith L Mangusan | Physical Therapy | Theramove Physical Therapy and Rehabilitation PC | 15814 Northern Blvd, Flushing, NY 11358-1600 |
| David S Orenstein | Optometry | 36 -03, Flushing, NY 11358-1610 | |
| Find all physicians in zip 11358 | |||
| City | FLUSHING |
| Zip Code | 11358 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FLUSHING + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Mrugank 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.