Search › California › 2084V0102X
Jenan Shukry, MD
NPI 1962963447 · on the registry since 2019
Practice
- Address
- 72780 Country Club Dr Ste 205
Rancho Mirage, CA 92270 - Phone
- (760) 834-3540
- Fax
- (760) 834-3590
- Organisation at this address
- Active Life, Llc
Jacome Medical Group
Jorge L. Eller, Md Inc
Ronald S. Levey, Md Inc
Farhad M Limonadi Md IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 87
Additional practice sites
- 39000 Bob Hope Dr, Rancho Mirage, CA
Registry record
- Primary taxonomy
- 2084V0102X
2084V0102X
- Also registered as
- 2084N0400X
2084V0102X - Licence states on file
- IL, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California