Individual
KURTIS CHARLES BIRUSINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(765) 448-7625
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01094324A
IN
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
A60249
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103347406
ANTHEM PTAN
IN
05
—
300095499
—
IN
Enumeration date
11/13/2006
Last updated
08/28/2025
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