P Praxis·MD
● Active Type 1 · Individual

Rakendu Prakash Shukla, MD

Radiology·Hiram, GA· NPI 1316387137 · Enumerated 2013 · 12 years on NPI
Shukla is 1 of 3 radiology providers in Hiram and 1 of 220 in Georgia.
NPI age
12 years
Enumerated 2013-06-25
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
GA, OR
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 220 active radiology providers in Georgia.

NPI age
12 years
↓ 7 yr below median (19 yr)
State licenses
2 states
Top 74% — 25% of peers are multi-state
Subspecialties
1
In the 42% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-06Enumerated in NPPES
2013 2026

Where they practice

Practice location
148 Bill Carruth Pkwy Ste Ll30
Hiram, GA 301413768
📞 7705053855fax 7704436654
Mailing address
148 Bill Carruth Parkway Suite Ll30
Hiram, GA 30141
📞 4706448140fax 7704436654

Specialties

  • Radiology Primary
    A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
    GA license #85977 taxonomy 2085R0001X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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