Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mrinal Shukla, MD

Individual provider Vascular Surgery Physician · NPI 1912297557

Dr. Mrinal Shukla, MD is a Vascular Surgery in Jackson, Mississippi. Graduated from Wake Forest University School of Medicine in 2011, 15 years ago. Practices with St Dominic Medical Associates LLC, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Mississippi.

Years since qualifying
15
Trained at
Wake Forest University School of Medicine
Licensed in
GA, MS
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-2005
Fax: (601) 815-0434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 971 Lakeland Dr Ste 1250, Jackson, MS 39216-4609 — (601) 200-6688

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 31345 (MS)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 080579 (GA)

Record details

NPI number1912297557
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 16, 2011
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice St. Dominic Medical Associates Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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