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Individual

NITIN KUKKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7410 BLANCO RD STE 101, SAN ANTONIO, TX 78216-4364
(210) 401-1515
(210) 401-1818
Mailing address
1806 AYLETH AVE, SAN ANTONIO, TX 78213-3975
(210) 401-1515
(210) 401-1818

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01076443A
IN
207X00000X
Orthopaedic Surgery Physician
036128840
IL
207X00000X
Orthopaedic Surgery Physician
L-235563
MA
207X00000X
Orthopaedic Surgery Physician
Primary
Q7908
TX

Other

Enumeration date
06/26/2008
Last updated
09/20/2022
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