Individual
DR. MIMI MARELLA KURIAKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6070 S RAINBOW BLVD, UNIT 10, LAS VEGAS, NV 89118-2503
(702) 420-7222
(702) 331-6018
Mailing address
6070 S RAINBOW BLVD, UNIT 10, LAS VEGAS, NV 89118-2501
(702) 420-7222
(702) 331-6018
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
16076
NV
208000000X
Pediatrics Physician
Primary
16076
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2012
Last updated
04/03/2025
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