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Individual

DR. KIRAN KURUVILLA ZACHARIAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-2394
(510) 307-3051
Mailing address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-2394
(510) 307-3051

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A92070
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A4920700
CA
Enumeration date
07/12/2006
Last updated
01/18/2022
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