# DR. KAVITHA THUKKARAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003854282
- **Gender:** F
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA72859 | NJ | Yes |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | MA72859 | NJ | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | MA72859 | NJ | — |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 03/05/2025