Kukreti, Deep

Kukreti, Deep is an individual health care provider with primary practice located at 9900 Washington Blvd Ste L, Laurel MD 20723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kukreti, Deep can be contacted via phone (301) 776-4996.

Contact Information

Primary practice address
9900 Washington Blvd Ste L Laurel MD 20723
Fax: (301) 483-8810
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DOO52075 Maryland

Profile Details

NPI number 1275507550
LBN Legal business name Kukreti, Deep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 1st, 2009 - about 15 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 1275507550 NPPES
Maryland MEDICAID 877610500

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