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Individual
PRIYESH KURUP
Active
Individual
PRIYESH KURUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD435153
PA
208M00000X
Hospitalist Physician
Primary
D0077779
MD
208M00000X
Hospitalist Physician
MD435153
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033824900
—
MD
05
—
102200611
—
PA
01
—
120274
GEISINGER HEALTH PLAN
PA
01
—
2065937
HIGHMARK BLUE SHIELD
PA
01
—
212149
JOHNS HOPKINS
PA
01
—
9176196
AETNA
PA
Enumeration date
12/10/2007
Last updated
02/21/2023
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