Provider Demographics
NPI:1447425194
Name:KURIEN, PHILIP ABRAHAM (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:ABRAHAM
Last Name:KURIEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2814 CONCORD AVE
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95618-6104
Mailing Address - Country:US
Mailing Address - Phone:650-704-5450
Mailing Address - Fax:
Practice Address - Street 1:751 SOUTH BASCOM AVENUE
Practice Address - Street 2:HOUSE STAFF COORDINATOR SANTA CLARA VALLEY MEDICAL CENT
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2699
Practice Address - Country:US
Practice Address - Phone:408-885-5110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA111335207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology