Provider Demographics
NPI:1952490773
Name:KURIAN, CHIRMAL (MD)
Entity Type:Individual
Prefix:
First Name:CHIRMAL
Middle Name:
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 1:6620 CLOUGH PIKE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45244-4039
Mailing Address - Country:US
Mailing Address - Phone:513-231-9010
Mailing Address - Fax:513-231-9706
Practice Address - Street 1:6620 CLOUGH PIKE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45244-4039
Practice Address - Country:US
Practice Address - Phone:513-231-9010
Practice Address - Fax:513-231-9706
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35081514207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2344912Medicaid
OHP00180876OtherRR MEDICARE
OH000000333687OtherANTHEM
OHP00180876OtherRR MEDICARE
OH2344912Medicaid