Individual
DR. DEEP KUKRETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9900 WASHINGTON BLVD, STE L, LAUREL, MD 20723
(301) 776-4996
(301) 483-8810
Mailing address
9900 WASHINGTON BLVD, STE L, LAUREL, MD 20723
(301) 776-4996
(301) 483-8810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOO52075
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
877610500
—
MD
Enumeration date
02/14/2006
Last updated
07/01/2009
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