Individual provider · Type 1 NPI

Nishani Kuruppu, DPM

Foot & Ankle Surgery Podiatrist · Waldorf, MD

NPI number 1225650781 Active

Practice location

12070 Old Line Ctr Ste 110
Waldorf, MD 20602-2503

Other practice locations

  • 12070 Old Line Ctr Ste 110, Waldorf, MD 20602-2503 · (301) 843-9581

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X01763 (MD)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1225650781

Nishani Kuruppu, DPM's National Provider Identifier is 1225650781, issued on May 7, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Waldorf, MD. The record was last updated on Jun 16, 2025.