Individual
DR. THOMMAN M KURUVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7195 ADVANCED WAY, LAS VEGAS, NV 89113-3691
(702) 740-5327
(702) 740-5328
Mailing address
PO BOX 50605, HENDERSON, NV 89016-0605
(702) 740-5327
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006123-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0606
STATE LICENSE
NV
Enumeration date
12/26/2006
Last updated
01/03/2022
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