Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2006034487 | MO |
N | 111NI0900X | Internist | 2006034487 | MO |
N | 207RC0000X | Internist - Cardiovascular Disease | R0440 | TX |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 2006034487 | MO |
NPI | 1174688360 |
---|---|
Provider Name | Dr. Thomas Kanjapalill Kurian |
First Address | Austin, TX 78705-1000 |
Second Address | Austin, TX 78705-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 06/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
365710801 | (05) | TX |
365710802 | (05) | TX |
8GH722 | BCBS (01) | TX |
P01164368 | RAILROAD MEDICARE (01) | MO |