Deep Kukreti And Associates, Llc | |
9900 Washington Blvd N Suite L Laurel MD 20723-1971 | |
(301) 776-4996 | |
(301) 483-8810 |
Full Name | Deep Kukreti And Associates, Llc |
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Speciality | General Practice |
Location | 9900 Washington Blvd N, Laurel, Maryland |
Authorized Official Name and Position | Deep Kukreti (MEDICAL DOCTOR) |
Authorized Official Contact | 3017764996 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Deep Kukreti And Associates, Llc 9900 Washington Blvd N Suite L Laurel MD 20723-1971 Ph: (301) 776-4996 | Deep Kukreti And Associates, Llc 9900 Washington Blvd N Suite L Laurel MD 20723-1971 Ph: (301) 776-4996 |
NPI Number | 1457674327 |
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Provider Enumeration Date | 03/08/2010 |
Last Update Date | 03/08/2010 |
Medicare PECOS PAC ID | 7416083894 |
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Medicare Enrollment ID | O20100325000388 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457674327 | NPI | - | NPPES |
1275507550 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | D0052075 (Maryland) | Primary |
Provider Name | Deep Kukreti |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275507550 PECOS PAC ID: 8022009638 Enrollment ID: I20070913000815 |
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