DR. MIMI MARELLA KURIAKOSE MD NPI 1144582966

NPI Information

NPI: 1144582966
Provider Name: DR. MIMI MARELLA KURIAKOSE, MD
Classification: Emergency Medicine - 207PP0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
2040 W CHARLESTON BLVD STE 504
LAS VEGAS, NV
ZIP 89102
Phone: (702) 671-6437
Get Directions

DR. Mimi Marella Kuriakose, MD is a pediatric emergency medicine emergency medicine in Las Vegas, NV. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. DR. Mimi Marella Kuriakose, MD NPI is 1144582966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2040 W CHARLESTON BLVD STE 504
LAS VEGAS, NV
ZIP 89102-207
Phone: (702) 671-6437

The NPI 1144582966 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2012 and was last updated on 4/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		16076	NEVADA	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	207PP0204X	Emergency Medicine	Pediatric Emergency Medicine	16076	NEVADA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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