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NPI Code Detail

MEDICARE: AJI KURIAN PA

MEDICARE: AJI KURIAN PA
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
1363AM0700XMedical Physician AssistantPA0003461FL
2363A00000XPhysician AssistantPA09588TX

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 : 1194713610
Entity Type Code : Individual
Provider Name (Legal Business Name) : AJI KURIAN PA
Provider Business Mailing Address
First Line : PO BOX 44008
Second Line : UFJP - PROVIDER ENROLLMENT
City : JACKSONVILLE
State : FL
Zip : 32231-4008
Country : US
Telephone Number : 904-244-3199
Fax Number : 904-244-3425
Provider Business Practice Location Address
First Line : 1401 ST JOSEPH PKWY
Second Line :
City : HOUSTON
State : TX
Zip : 77002-8301
Country : US
Telephone Number : 713-757-1000
Fax Number : 713-657-7172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 08/05/2019

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Directions to “ AJI KURIAN PA” Practice Location

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