Kuriakose, Philip
Kuriakose, Philip is an individual health care provider with primary practice located at Henry Ford Health System 2799 W.Grand Blvd, Detroit MI 48202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kuriakose, Philip can be contacted via phone (313) 916-7648.Contact Information
Primary practice address
Henry Ford Health System 2799 W.Grand Blvd
Detroit MI 48202
Phone: (313) 916-7648
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301068847 | Michigan |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 4301068847 | Michigan |
Profile Details
| NPI number | 1366510810 |
|---|---|
| LBN Legal business name | Kuriakose, Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366510810 | NPPES |
| Other | PK068847 | CHAMPUS-CHAMPUS | |
| Other | PK068847 | CHAMPUS-CHAMPUS |
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