Kuruba, Rajesh

Kuruba, Rajesh is an individual health care provider with primary practice located at 1500 E Woodrow Wilson Ave. , Jackson MS 39216-5199. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kuruba, Rajesh can be contacted via phone (601) 362-4471.

Contact Information

Primary practice address
1500 E Woodrow Wilson Ave. Jackson MS 39216-5199
Phone: (601) 362-4471
Fax: (601) 364-1357
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301076797 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 20437 Mississippi

Profile Details

NPI number 1770604803
LBN Legal business name Kuruba, Rajesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jun 6th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770604803 NPPES
Mississippi MEDICAID 06872096

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