Perekattu Kuruvilla, Teessa
Perekattu Kuruvilla, Teessa is an sole proprietor health care provider with primary practice located at Department Of Radiation Oncology 350 Woodrow Wilson Dr, Jackson MS 39216-4505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Perekattu Kuruvilla, Teessa can be contacted via phone (601) 815-6886.Contact Information
Primary practice address
Department Of Radiation Oncology 350 Woodrow Wilson Dr
Jackson MS 39216-4505
Phone: (601) 815-6886
Fax: (601) 815-1846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | T-3726 | Mississippi |
Profile Details
| NPI number | 1124584800 |
|---|---|
| LBN Legal business name | Perekattu Kuruvilla, Teessa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2019 |
| Last updated | Feb 18th, 2019 - about 5 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 | 1124584800 | NPPES |
| Mississippi | Other | T-3726 | MS STATE BOARD OF MEDICAL LICENSURE |
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