Individual
AJIT PHILIP KURUVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11125 ROCKVILLE PIKE, SUITE 208, ROCKVILLE, MD 20852-3142
(301) 881-5858
(301) 260-2838
Mailing address
PO BOX 299, BURTONSVILLE, MD 20866-0299
(301) 570-9700
(301) 260-2838
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D46187
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174500000
—
MD
05
—
175502100
—
MD
01
—
B602
BCBS PROVIDER NUMBER
DC
Enumeration date
07/13/2006
Last updated
10/26/2007
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