Individual
GAUTAM KUKREJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 W KIMBERLY RD, DAVENPORT, IA 52806-3059
(563) 421-0010
(563) 421-0009
Mailing address
3200 W KIMBERLY RD, DAVENPORT, IA 52806-3059
(563) 421-0010
(563) 421-0009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38806
IA
Other
Enumeration date
04/02/2010
Last updated
04/28/2021
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