Provider Demographics
NPI:1356675573
Name:KURIAN, THOMAS MANI (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MANI
Last Name:KURIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:25775 MCBEAN PKWY STE 106
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-3702
Mailing Address - Country:US
Mailing Address - Phone:661-857-7100
Mailing Address - Fax:661-481-0239
Practice Address - Street 1:25775 MCBEAN PKWY STE 106
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-3702
Practice Address - Country:US
Practice Address - Phone:661-857-7100
Practice Address - Fax:661-481-0239
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1308772084N0402X, 2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00OtherN/A