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Organization

SIVA P KURUP MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIVA P KURUP M.D. (DOCTOR)
(330) 856-3633
Entity
Organization

Contact information

Practice address
1704 NORTH RD SE, WARREN, OH 44484-2958
(330) 856-3633
Mailing address
1704 NORTH RD SE, WARREN, OH 44484-2958
(330) 856-3633

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
35036209
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0424277
OH
Enumeration date
03/09/2012
Last updated
03/09/2012
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