Neeta Kukreja, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9701800 Issued in NC

Practice address

10410 Park Rd
Charlotte, NC 28210-6568

Phone

(704) 540-6860

NPI assigned

Dec 4, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Charlotte Pediatrics, PLLC

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1396705042
  NPD (past) Authorized official

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

{
    "created_epoch": "1133654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300579200000",
    "number": "1801870795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 LOOKOUT CIR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738085",
            "telephone_number": "704-540-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106568",
            "telephone_number": "704-540-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKREJA",
        "first_name": "NEETA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-04",
        "last_updated": "2011-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9701800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Lynn Kuhn, LPC
• Kylie Kuhn
• Penelope Painter Kuhn
• Cheryl Lynn Kuhta-Sutter, RD
• Tina Frances Kujawski, AANP
• Amanda Lynne Kula, M.S.ED., M.S.PSY
• Jonathan Sol Kulbersh, MD
• Lindsey Amber Kulchin, OTD, OTR/L
• Sarah Rose Kulik, PHARMD
• Megan Francis Kullick, MA, LCMHCA

• Pediatrics Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.