Basic Information
| Provider Information | |||||||||
| NPI: | 1407921281 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KUTE | ||||||||
| FirstName: | NEELIMA | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 8500 # 4081 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191780001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2158561010 | ||||||||
| FaxNumber: | 2158561141 | ||||||||
| Practice Location | |||||||||
| Address1: | 23 BUSTLETON PIKE | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | FEASTERVILLE TREVOSE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190536446 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154640770 | ||||||||
| FaxNumber: | 2675790720 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2006 | ||||||||
| LastUpdateDate: | 11/07/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD430141 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.