Individual
KRISTINE JANE GULESERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 663-8401
(305) 669-6574
Mailing address
7777 FOREST LN STE B120, DALLAS, TX 75230-6906
(972) 566-2525
(972) 566-2032
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
M1122
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME129510
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172724001
—
TX
Enumeration date
04/05/2006
Last updated
01/04/2022
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