Provider Demographics
NPI:1609963248
Name:KURRA ASSOCIATES PA
Entity Type:Organization
Organization Name:KURRA ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PADMAVATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:KURRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-794-7733
Mailing Address - Street 1:15-01 BROADWAY
Mailing Address - Street 2:SUITE 10B
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410
Mailing Address - Country:US
Mailing Address - Phone:201-794-7733
Mailing Address - Fax:201-794-6039
Practice Address - Street 1:15-01 BROADWAY
Practice Address - Street 2:SUITE 10B
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410
Practice Address - Country:US
Practice Address - Phone:201-794-7733
Practice Address - Fax:201-794-6039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
858321Medicare PIN