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NPI Code Detail

MEDICARE: SUMNA E KURUVILLA MD

MEDICARE: SUMNA E KURUVILLA MD
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
1207QA0505XAdult Medicine Physician11335RLA

General Provider Information

NPI Number : 1922117837
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMNA E KURUVILLA MD
Provider Business Mailing Address
First Line : 2703 BRIERFIELD DR
Second Line :
City : MONROE
State : LA
Zip : 71201-3048
Country : US
Telephone Number : 318-388-3151
Fax Number :
Provider Business Practice Location Address
First Line : 250 DESIARD PLAZA DR
Second Line : VA CLINIC
City : MONROE
State : LA
Zip : 71203-4955
Country : US
Telephone Number : 318-345-5599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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Directions to “ SUMNA E KURUVILLA MD” Practice Location

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