Provider Demographics
NPI:1265764260
Name:SHUKUROVA, ZUKHRA (MD)
Entity type:Individual
Prefix:
First Name:ZUKHRA
Middle Name:
Last Name:SHUKUROVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 OCEAN AVE
Mailing Address - Street 2:APT 3B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3566
Mailing Address - Country:US
Mailing Address - Phone:917-312-0059
Mailing Address - Fax:
Practice Address - Street 1:2421 OCEAN AVE
Practice Address - Street 2:APT 3B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3566
Practice Address - Country:US
Practice Address - Phone:917-312-0059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-02
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY254946-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine