Individual
DR. SANDEEP KUKREJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1070
(317) 885-2334
(317) 885-2869
Mailing address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1070
(317) 885-2334
(317) 885-2869
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01067853A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01067853A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201001870
—
IN
Enumeration date
05/29/2007
Last updated
05/09/2023
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