Siva P Kurup MD Inc

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

35036209 Issued in OH

Legal business name

SIVA P KURUP MD INC

Practice address

1704 North Rd SE
Warren, OH 44484-2958

Phone

(330) 856-3633

NPI assigned

Mar 9, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Siva P Kurup, M.D.

Title

Doctor

Phone

(330) 856-3633

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1568737526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 NORTH RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842958",
            "telephone_number": "330-856-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 NORTH RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842958",
            "telephone_number": "330-856-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIVA P KURUP MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "KURUP",
        "authorized_official_first_name": "SIVA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "330-856-3633",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OH",
            "license": "35036209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0424277",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Psychiatry Physician in Warren, OH
• Providers in Warren, OH by specialty
• Geriatric Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.