Provider Demographics
NPI:1538364765
Name:MUKHI, SHALINI VICKY (MD)
Entity type:Individual
Prefix:DR
First Name:SHALINI
Middle Name:VICKY
Last Name:MUKHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VICKY
Other - Middle Name:S
Other - Last Name:MUKHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2907 QUENBY AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2333
Mailing Address - Country:US
Mailing Address - Phone:713-517-1366
Mailing Address - Fax:713-517-1366
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-517-1366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM67852085N0700X, 2085B0100X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyGroup - Single Specialty
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Single Specialty