Kukreja, Mohit M

Kukreja, Mohit M is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Kukreja, Mohit M can be contacted via phone (401) 457-1567.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 457-1567
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 271415 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X CLP04658 Rhode Island

Profile Details

NPI number 1295261881
LBN Legal business name Kukreja, Mohit M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2017
Last updated Jul 24th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295261881 NPPES
Rhode Island Other CLP04658 RHODE ISLAND DEPARTMENT OF HEALTH

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