Organization
DR KURRA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRATAP S KURRA MD (GROUP PRESIDENT)
(209) 826-0591
Entity
Organization
Contact information
Practice address
520 WEST I STREET, MERCED, CA 93675
(209) 826-0591
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C43255
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C432550
—
CA
01
—
611647400
US DEPT OF LABOR
CA
01
—
ZZZ13910Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
07/30/2006
Last updated
01/15/2014
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