IndividualActive
Jenan Shukry, MD
NPI 1962963447 · Vascular Neurology Physician · Rancho Mirage, CA
Provider details
- NPI number
- 1962963447
- Entity type
- Individual
- Primary specialty
- Vascular Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 125.074930 (IL)
Practice location
72780 Country Club Dr Ste 205
Rancho Mirage, CA 92270-4150
Phone: (760) 834-3540
Fax: (760) 834-3590
Mailing address
72780 Country Club Dr Ste 205
Rancho Mirage, CA 92270-4150
Registry dates
- Enumerated
- 2019-03-27
- Last updated
- 2024-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.