Healthcare Provider Details

I. General information

NPI: 1164963930
Provider Name (Legal Business Name): REJOY KURIEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2017
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8709 NW 105TH ST
OKLAHOMA CITY OK
73162-1222
US

IV. Provider business mailing address

800 STANTON L YOUNG BLVD # 6300
OKLAHOMA CITY OK
73104-5018
US

V. Phone/Fax

Practice location:
  • Phone: 405-314-0066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number33073
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number33073
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: