Provider Demographics
NPI:1386821734
Name:KUKREJA, MARCIA K (MD)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:K
Last Name:KUKREJA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6720 BERTNER AVE
Mailing Address - Street 2:MC2-270
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2604
Mailing Address - Country:US
Mailing Address - Phone:832-355-4092
Mailing Address - Fax:832-355-2591
Practice Address - Street 1:3333 BURNET AVE
Practice Address - Street 2:RADIOLOGY ML 5031
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3039
Practice Address - Country:US
Practice Address - Phone:513-636-4251
Practice Address - Fax:513-636-8145
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2014-04-14
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Provider Licenses
StateLicense IDTaxonomies
OH35.0946952085P0229X
TX445382085R0202X, 2085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology