TEESSA PEREKATTU KURUVILLA M.D. NPI 1124584800

NPI Information

NPI: 1124584800
Provider Name: TEESSA PEREKATTU KURUVILLA, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Address:
DEPARTMENT OF RADIATION ONCOLOGY
350 WOODROW WILSON DR
JACKSON, MS
ZIP 39216
Phone: (601) 815-6886
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Teessa Perekattu Kuruvilla, M.D. is a radiation oncology radiology in Jackson, MS. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Teessa Perekattu Kuruvilla, M.D. NPI is 1124584800. 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:

DEPARTMENT OF RADIATION ONCOLOGY
350 WOODROW WILSON DR
JACKSON, MS
ZIP 39216-505
Phone: (601) 815-6886
Fax: (601) 815-1846

The enumeration date for this NPI number is 2/18/2019 and was last updated on 2/18/2019.

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	2085R0001X	Radiology	Radiation Oncology	T-3726	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T-3726	OTHER	MISSISSIPPI	MS STATE BOARD OF MEDICAL LICENSURE

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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