Provider Demographics
NPI:1912965708
Name:KURIEN, SANTHA T (MD)
Entity Type:Individual
Prefix:
First Name:SANTHA
Middle Name:T
Last Name:KURIEN
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 1:27 HOSPITAL AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5954
Mailing Address - Country:US
Mailing Address - Phone:203-743-3833
Mailing Address - Fax:203-797-0107
Practice Address - Street 1:27 HOSPITAL AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5954
Practice Address - Country:US
Practice Address - Phone:203-743-3833
Practice Address - Fax:203-797-0107
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0185602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB37840Medicare UPIN
260000587Medicare ID - Type Unspecified