Provider Demographics
NPI:1033806740
Name:KURUP, MEENAKSHI (MBBS)
Entity Type:Individual
Prefix:MRS
First Name:MEENAKSHI
Middle Name:
Last Name:KURUP
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:MEENAKSHI
Other - Middle Name:
Other - Last Name:VIJAYAKUMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF INTERNAL MEDICINE, SUNY DOWNSTATE HEALTH
Mailing Address - Street 2:450 CLARKSON AVENUE, MSC #50
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203
Mailing Address - Country:US
Mailing Address - Phone:718-270-2353
Mailing Address - Fax:
Practice Address - Street 1:450 CLARKSON AVENUE, MSC #50
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-270-2353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program