Provider Demographics
NPI:1356657613
Name:KURUVILA, ASHA CAROLINE (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHA
Middle Name:CAROLINE
Last Name:KURUVILA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ASHA
Other - Middle Name:CAROLINE
Other - Last Name:ABRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:18980 N MEMORIAL DR STE 280
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4216
Mailing Address - Country:US
Mailing Address - Phone:713-486-8180
Mailing Address - Fax:713-486-8190
Practice Address - Street 1:18980 N MEMORIAL DR STE 280
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4216
Practice Address - Country:US
Practice Address - Phone:713-486-8180
Practice Address - Fax:713-486-8190
Is Sole Proprietor?:No
Enumeration Date:2010-08-25
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7444207RG0100X, 390200000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX216850201Medicaid
TX8CN868OtherBCBSTX
TXP00990333OtherRAILROAD MEDICARE
TXP00990333OtherRAILROAD MEDICARE