Kuruvilla, Anand Mathai

Kuruvilla, Anand Mathai is an individual health care provider with primary practice located at 600 Zeagler Dr Suite 2, Palatka FL 32177-3811. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Kuruvilla, Anand Mathai can be contacted via phone (386) 325-8140.

Contact Information

Primary practice address
600 Zeagler Dr Suite 2 Palatka FL 32177-3811
Phone: (386) 325-8140
Fax: (904) 350-0032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME59637 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME59637 Florida

Profile Details

NPI number 1740246974
LBN Legal business name Kuruvilla, Anand Mathai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated May 4th, 2016 - about 9 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 1740246974 NPPES
Florida Other 1115823 CARE PLUS
Florida Other 12258 CARE PLUS
Florida Other 4235259 CARE PLUS
Florida Other P00198033 CARE PLUS
Florida Other P01451915 CARE PLUS
Florida Other 1193327 CARE PLUS
Florida MEDICAID 055904100 CARE PLUS
Florida Other 1121651 CARE PLUS
Florida Other P01596516 CARE PLUS
Florida Other 0571795 CARE PLUS
Florida Other 204458 CARE PLUS

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