Individual
KESHAV KUKREJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 66TH ST N STE 201, ST PETERSBURG, FL 33709-4949
(727) 345-5500
(727) 343-3716
Mailing address
3001 EXECUTIVE DR STE 130, CLEARWATER, FL 33762-5323
(727) 347-0005
(727) 541-6558
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME144943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113924700
—
FL
Enumeration date
05/25/2016
Last updated
07/11/2022
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