Individual
ANNET SUSAN KURUVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 446-8937
Mailing address
PO BOX 1980, NORFOLK, VA 23501-1980
(757) 446-8950
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LP05910
RI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
7V01-EQ4T-QHRF-PQ69
VA
Other
Enumeration date
05/15/2023
Last updated
01/16/2026
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