Kukreja, Ravi

Kukreja, Ravi is an individual health care provider with primary practice located at 515 E Broadway Ave , Bismarck ND 58501-4491. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kukreja, Ravi can be contacted via phone (701) 328-9956.

Contact Information

Primary practice address
515 E Broadway Ave Bismarck ND 58501-4491
Fax: (701) 328-9957
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10574 North Dakota

Profile Details

NPI number 1659550549
LBN Legal business name Kukreja, Ravi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Oct 29th, 2007 - about 18 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 1659550549 NPPES
North Dakota MEDICAID 12083

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