Organization
DEEP KUKRETI AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEEP KUKRETI M.D (MEDICAL DOCTOR)
(301) 776-4996
Entity
Organization
Contact information
Practice address
9900 WASHINGTON BLVD N, SUITE L, LAUREL, MD 20723-1971
(301) 776-4996
(301) 483-8810
Mailing address
9900 WASHINGTON BLVD N, SUITE L, LAUREL, MD 20723-1971
(301) 776-4996
(301) 483-8810
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D0052075
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275507550
—
MD
Enumeration date
03/08/2010
Last updated
03/08/2010
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