Provider Demographics
NPI:1508074857
Name:THOTT, KURIAN
Entity Type:Individual
Prefix:
First Name:KURIAN
Middle Name:
Last Name:THOTT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 FALL HILL AVE STE 317
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3343
Mailing Address - Country:US
Mailing Address - Phone:540-720-7340
Mailing Address - Fax:540-720-7341
Practice Address - Street 1:955 WONDER RD STE E
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7798
Practice Address - Country:US
Practice Address - Phone:540-741-7892
Practice Address - Fax:540-741-9777
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT185008207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology