Organization
AJIT P KURUVILLA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJIT P KURUVILLA MD (CEO)
(301) 758-9697
Entity
Organization
Contact information
Practice address
2401 RESEARCH BLVD, SUITE 350, ROCKVILLE, MD 20850-3215
(301) 758-9697
(301) 668-5233
Mailing address
8129 HUNTFIELD DR, FULTON, MD 20759-2104
(301) 758-9697
(301) 668-5233
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
MD
207RP1001X
Pulmonary Disease Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214050100
—
MD
Enumeration date
11/28/2012
Last updated
03/06/2017
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