Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 159172 | CA |
NPI | 1013008283 |
---|---|
Provider Name | Kalife Kuri |
First Address | San Antonio, TX 78217 |
Second Address | San Antonio, TX 78217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 07/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104840701 | (05) | TX |
85Y096 | BCBS (01) | TX |
F83989 | (02) | TX |