Individual
REENA KURIACOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4010 AERIAL WAY, EUGENE, OR 97402-9757
(541) 687-6349
(541) 242-8361
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-1000
(336) 718-1052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015-00216
NC
207R00000X
Internal Medicine Physician
MD
TN
207R00000X
Internal Medicine Physician
Primary
MD183553
OR
Other
Enumeration date
05/30/2007
Last updated
12/13/2018
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