Healthcare Provider Details

I. General information

NPI: 1447425194
Provider Name (Legal Business Name): PHILIP ABRAHAM KURIEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVENUE BUILDING 5 ROOM 3C38
SAN FRANCISCO CA
94110
US

IV. Provider business mailing address

2814 CONCORD AVE
DAVIS CA
95618-6104
US

V. Phone/Fax

Practice location:
  • Phone: 628-206-3250
  • Fax: 628-206-6014
Mailing address:
  • Phone: 650-704-5450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberA111335
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA111335
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: