| Organization Name: | DEEP KUKRETI AND ASSOCIATES, LLC |
| NPI Number: | 1457674327 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEEP KUKRETI (MEDICAL DOCTOR) |
| Mailing Address: | 9900 Washington Blvd N Suite L Laurel |
| State: | MD US |
| Postal Code: | 207231971 |
| Phone Number: | 3017764996 |
| Fax Number: | 3014838810 |
| NPI Enumeration Date: | 03/08/2010 |
| NPI Last Update Date: | 03/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D0052075 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |