Deep Kukreti and Associates, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D0052075 Issued in MD

Legal business name

DEEP KUKRETI AND ASSOCIATES, LLC

Practice address

9900 Washington Blvd N
Suite L
Laurel, MD 20723-1971

Phone

(301) 776-4996

Fax

(301) 483-8810

NPI assigned

Mar 8, 2010

Last updated

Mar 8, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Deep Kukreti, M.DNPI 1275507550

Title

Medical Doctor

Phone

(301) 776-4996

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deep Kukreti, MD

  • Family Medicine Physician
  • Laurel, MD
  • NPI 1275507550

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1457674327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 WASHINGTON BLVD N",
            "address_2": "SUITE L",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231971",
            "telephone_number": "301-776-4996",
            "fax_number": "301-483-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 WASHINGTON BLVD N",
            "address_2": "SUITE L",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231971",
            "telephone_number": "301-776-4996",
            "fax_number": "301-483-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP KUKRETI AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "KUKRETI",
        "authorized_official_first_name": "DEEP",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "301-776-4996",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0052075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275507550",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Laurel, MD
• Providers in Laurel, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.