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NPI Code Detail

MEDICARE: GEETIKA KUKREJA MD

MEDICARE:   GEETIKA  KUKREJA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician4301096737MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396053351
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEETIKA KUKREJA MD
Provider Business Mailing Address
First Line : 401 S BALLENGER HWY
Second Line :
City : FLINT
State : MI
Zip : 48532-3638
Country : US
Telephone Number : 810-342-1528
Fax Number :
Provider Business Practice Location Address
First Line : 3140 W CAMPUS DR
Second Line :
City : BAY CITY
State : MI
Zip : 48706-2776
Country : US
Telephone Number : 989-667-2370
Fax Number : 989-671-9275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2010
Last Update Date : 02/05/2018

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Directions to “ GEETIKA KUKREJA MD” Practice Location

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