Provider Demographics
NPI:1760439418
Name:KUKREJA, SUNEET (MD)
Entity type:Individual
Prefix:
First Name:SUNEET
Middle Name:
Last Name:KUKREJA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5305 GREENWOOD AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2449
Mailing Address - Country:US
Mailing Address - Phone:561-882-6060
Mailing Address - Fax:561-845-2297
Practice Address - Street 1:5305 GREENWOOD AVE STE 204
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2449
Practice Address - Country:US
Practice Address - Phone:561-882-6060
Practice Address - Fax:561-845-2297
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL96586207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
H48449Medicare UPIN