Individual
THOMSON KURIAN CHEMPLAVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8965 S PECOS RD, STE 11A, HENDERSON, NV 89074-7159
(702) 735-4094
(702) 735-1994
Mailing address
8965 S PECOS RD, STE 11A, HENDERSON, NV 89074
(702) 735-4094
(702) 735-1994
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
9370
NV
207RS0012X
Sleep Medicine (Internal Medicine) Physician
9370
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018498
—
NV
01
—
P00241834
RR MCR
NV
01
—
V101410
MEDICARE ID
NV
Enumeration date
10/24/2006
Last updated
01/28/2014
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