Individual
MARIAKUTTY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
916 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 653-3661
Mailing address
517 INDIAN PRINCESS DR, APT204, LAS VEGAS, NV 89145-2402
(702) 636-4060
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
155774
NY
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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