# THOMMAN KURUVILLA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447435748
- **Authorized official:** DR. THOMMAN KURUVILLA DPM (PRESIDENT)
- **Authorized official phone:** (646) 369-4507

## Contact information

- **Practice address:** 3017 W CHARLESTON BLVD, SUITE 90, LAS VEGAS, NV 89102-1941
- **Practice address phone:** (702) 878-5252
- **Mailing address:** PO BOX 98898, DRAWER \#1014, LAS VEGAS, NV 89193-8898
- **Mailing address phone:** (646) 369-4507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0606 | NV | Yes |

## Other

- **Enumeration date:** 01/04/2008
- **Last updated:** 01/04/2008