Provider Demographics
NPI:1518944370
Name:KURIAN, JOHN RAVI (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RAVI
Last Name:KURIAN
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 1:15 PORTERS COVE RD
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1026
Mailing Address - Country:US
Mailing Address - Phone:781-740-4340
Mailing Address - Fax:
Practice Address - Street 1:15 PORTERS COVE RD
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-1026
Practice Address - Country:US
Practice Address - Phone:781-740-4340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-22
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71436207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA34375OtherBOSTON MEDICAL CENTER
MA3081982Medicaid
MAJ08976OtherBLUE SHIELD
MA275183OtherHARVARD PILGRIM
MA62227OtherFALLON
MA729194OtherTUFTS
MA0007865OtherNEIGHBORHOOD HEALTH
MA62227OtherFALLON
MA3081982Medicaid
MAJ08976Medicare PIN