| Kuruvilla John, Md, Inc. | |
|
401 Division St Suite 104 South Charleston WV 25309-1455 | |
| (304) 767-7880 | |
| (304) 767-7885 |
| Full Name | Kuruvilla John, Md, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 401 Division St, South Charleston, West Virginia |
| Authorized Official Name and Position | Kuruvilla John (PRESIDENT) |
| Authorized Official Contact | 3047677880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kuruvilla John, Md, Inc. 401 Division St Suite 104 South Charleston WV 25309-1455 Ph: (304) 767-7880 | Kuruvilla John, Md, Inc. 401 Division St Suite 104 South Charleston WV 25309-1455 Ph: (304) 767-7880 |
| NPI Number | 1548314230 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548314230 | NPI | - | NPPES |
| 0089936000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 16097 (West Virginia) | Primary |
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