Kuruvilla, Ajit Philip

Kuruvilla, Ajit Philip is an individual health care provider with primary practice located at 11125 Rockville Pike Suite 208, Rockville MD 20852-3142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Kuruvilla, Ajit Philip can be contacted via phone (301) 881-5858.

Contact Information

Primary practice address
11125 Rockville Pike Suite 208 Rockville MD 20852-3142
Phone: (301) 881-5858
Fax: (301) 260-2838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X D46187 Maryland

Profile Details

NPI number 1568487247
LBN Legal business name Kuruvilla, Ajit Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Oct 26th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568487247 NPPES
District of Columbia Other B602 BCBS PROVIDER NUMBER
District of Columbia MEDICAID 174500000 BCBS PROVIDER NUMBER
District of Columbia MEDICAID 175502100 BCBS PROVIDER NUMBER

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