Provider Demographics
NPI:1205110202
Name:KURIAN ALAPPAT, REAH MARY (MD)
Entity type:Individual
Prefix:
First Name:REAH MARY
Middle Name:
Last Name:KURIAN ALAPPAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34503 9TH AVE S STE 330
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8726
Mailing Address - Country:US
Mailing Address - Phone:253-835-8850
Mailing Address - Fax:253-835-8869
Practice Address - Street 1:34503 9TH AVE S STE 330
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8726
Practice Address - Country:US
Practice Address - Phone:253-835-8850
Practice Address - Fax:253-835-8869
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013023321207V00000X
WAMD61314374207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR201034001Medicaid
WA2224340Medicaid
MO1205110202Medicaid