Individual
DR. ABRAHAM C KURUVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1015
(602) 344-1174
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12557
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222678
—
AZ
Enumeration date
06/07/2006
Last updated
01/31/2017
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