| Deep Kukreti and Associates, LLC | |
|
9900 Washington Blvd N Suite L Laurel MD 20723-1971 | |
| (301) 776-4996 | |
| (301) 483-8810 |
| Full Name | Deep Kukreti and Associates, LLC |
|---|---|
| Speciality | General Practice |
| Location | 9900 Washington Blvd N, Laurel, Maryland |
| Authorized Official Name and Position | Deep Kukreti (MEDICAL DOCTOR) |
| Authorized Official Contact | 3017764996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep Kukreti and Associates, LLC 9900 Washington Blvd N Suite L Laurel MD 20723-1971 Ph: (301) 776-4996 | Deep Kukreti and Associates, LLC 9900 Washington Blvd N Suite L Laurel MD 20723-1971 Ph: (301) 776-4996 |
| NPI Number | 1457674327 |
|---|---|
| Provider Enumeration Date | 03/08/2010 |
| Last Update Date | 03/08/2010 |
| Medicare PECOS PAC ID | 7416083894 |
|---|---|
| Medicare Enrollment ID | O20100325000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457674327 | NPI | - | NPPES |
| 1275507550 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | D0052075 (Maryland) | Primary |
| Provider Name | Deep Kukreti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275507550 PECOS PAC ID: 8022009638 Enrollment ID: I20070913000815 |
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