Kuruvilla, Thomman M

Kuruvilla, Thomman M is an sole proprietor health care provider with primary practice located at 7195 Advanced Way , Las Vegas NV 89113-3691. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Kuruvilla, Thomman M can be contacted via phone (702) 740-5327.

Contact Information

Primary practice address
7195 Advanced Way Las Vegas NV 89113-3691
Phone: (702) 740-5327
Fax: (702) 740-5328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N006123-1 New York

Profile Details

NPI number 1578628095
LBN Legal business name Kuruvilla, Thomman M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2006
Last updated Jan 3rd, 2022 - about 4 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 1578628095 NPPES
Nevada Other 0606 STATE LICENSE

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