Mary Kuruvilla is a Psychiatry in Englewood, Ohio. Mary Kuruvilla practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Mary Kuruvilla is 1497973143. The last update date is 2015-04-15.
Mary Kuruvilla's current location address is 5070 Pebblebrook Dr, Englewood, Ohio. You can contact this provider via phone number 9378321320 and fax number 9374962943. The mailing address for Mary Kuruvilla is 5070 Pebblebrook Dr, Englewood, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Kuruvilla |
|---|---|
| Address | 5070 Pebblebrook Dr, Englewood, Ohio |
| Phone Number | 9378321320 |
| Fax Number | 9374962943 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497973143 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2015-04-15 |
Provider Mailing Address Detail
| Address | 5070 Pebblebrook Dr |
|---|---|
| City | Englewood |
| State | Ohio (OH) |
| Post Code | 45322 |
| Phone Number | 9378321320 |
| Fax Number | 9374962943 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 35056398OHIO |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2961166 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Kuruvilla by the Centers for Medicare & Medicaid Services?
The Mary Kuruvilla has been assigned the NPI (National Provider Identifier) 1497973143 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mary Kuruvilla's physical address?
The Mary Kuruvilla is physically located at 5070 Pebblebrook Dr, in the city of Englewood, OH, with the postal code 45322.
What is the Mary Kuruvilla's specialty and taxonomy code?
The Mary Kuruvilla's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497973143 to Mary Kuruvilla?
The Centers for Medicare & Medicaid Services assigned the 1497973143 to Mary Kuruvilla on 2007-04-20.
As of what date was the information regarding Mary Kuruvilla, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Kuruvilla, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-04-15.