Organization · Type 2 NPI
Thomman Kuruvilla LLC
Foot & Ankle Surgery Podiatrist · Las Vegas, NV
NPI number
1447435748
Active
Practice location
3017 W Charleston Blvd, Suite 90
Las Vegas, NV 89102-1941
Mailing address
PO Box 98898, Drawer #1014
Las Vegas, NV 89193-8898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 0606 (NV) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1447435748
Thomman Kuruvilla LLC's National Provider Identifier is 1447435748, issued on Jan 4, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 4, 2008.