Individual
DR. AJIT G. KURUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1835 UNIVERSITY BLVD E STE 208, HYATTSVILLE, MD 20783-4657
(301) 445-3501
(301) 445-3502
Mailing address
1835 UNIVERSITY BLVD E STE 208, HYATTSVILLE, MD 20783-4657
(301) 445-3501
(301) 445-3502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D63681
MD
207QG0300X
Geriatric Medicine (Family Medicine) Physician
D0063681
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410835300
—
MD
Enumeration date
05/17/2006
Last updated
04/02/2020
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