DR. MIMI MARELLA KURIAKOSE MD NPI 1144582966

NPI Information

  • NPI: 1144582966
  • Provider Name: DR. MIMI MARELLA KURIAKOSE, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6070 S RAINBOW BLVD
    UNIT 10
    LAS VEGAS, NV
    ZIP 89118
  • Phone: (702) 420-7222

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NPI Details

DR. Mimi Marella Kuriakose, MD is a pediatrics in Las Vegas, NV. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. 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:

6070 S RAINBOW BLVD
UNIT 10
LAS VEGAS, NV
ZIP 89118-503
Phone: (702) 420-7222
Fax: (702) 331-6018

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 3/31/2023.

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
1207PP0204XEmergency MedicinePediatric Emergency Medicine16076NEVADANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3208000000XPediatrics16076NEVADAYes

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: 3/30/2025

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