MEDICARE: DR. ASHA CAROLINE KURUVILA M.D.

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
1	207RG0100X	Gastroenterology Physician	N7444	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00990333	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8CN868	OTHER	TX	BCBSTX

General Provider Information

NPI Number	:	1356657613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHA CAROLINE KURUVILA M.D.

Provider Business Mailing Address
First Line	:	18980 N MEMORIAL DR STE 280
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-4216
Country	:	US
Telephone Number	:	713-486-8180
Fax Number	:	713-486-8190

Provider Business Practice Location Address
First Line	:	18980 N MEMORIAL DR STE 280
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-4216
Country	:	US
Telephone Number	:	713-486-8180
Fax Number	:	713-486-8190

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2010
Last Update Date	:	12/17/2020

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Directions to “ DR. ASHA CAROLINE KURUVILA M.D.” Practice Location

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