Individual
POORWA I KENKRE
Active
Individual
POORWA I KENKRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C1-0006700
DE
208000000X
Pediatrics Physician
Primary
C1-0006700
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000016557
—
DE
Enumeration date
07/05/2005
Last updated
04/28/2017
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