Basic Information
Provider Information
NPI: 1225054984
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KUKAR
FirstName: ATUL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 20970
Address2:  
City: CHEYENNE
State: WY
PostalCode: 820037020
CountryCode: US
TelephoneNumber: 3076371600
FaxNumber: 3076371699
Practice Location
Address1: 100 E 77TH ST
Address2: BLACKHALL 9 - INTERVENTIONAL CARDIOLOGY
City: NEW YORK
State: NY
PostalCode: 100751850
CountryCode: US
TelephoneNumber: 2124342711
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/15/2006
LastUpdateDate: 04/26/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X223552NYY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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