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NPI Code Detail

MEDICARE: RUSLAN SHKARADYUK MS, RD

MEDICARE: RUSLAN SHKARADYUK MS, RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1053266585
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUSLAN SHKARADYUK MS, RD
Provider Business Mailing Address
First Line : 44493 PINE DR
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48313-1257
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3724 JEFFERSON ST STE 104
Second Line :
City : AUSTIN
State : TX
Zip : 78731-6204
Country : US
Telephone Number : 864-624-7964
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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