Provider Demographics
NPI:1093954554
Name:KURLI, VINEEL (MD)
Entity Type:Individual
Prefix:DR
First Name:VINEEL
Middle Name:
Last Name:KURLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10835 N 25TH AVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-4751
Mailing Address - Country:US
Mailing Address - Phone:602-246-2584
Mailing Address - Fax:602-246-9645
Practice Address - Street 1:10835 N 25TH AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-4751
Practice Address - Country:US
Practice Address - Phone:602-246-2584
Practice Address - Fax:602-246-9645
Is Sole Proprietor?:No
Enumeration Date:2009-02-06
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ447942085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ631078Medicaid
AZZ147047Medicare PIN