DR. MIMI MARELLA KURIAKOSE (NPI# 1144582966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144582966 |
| Entity Type | Individual |
| Full Name | DR. MIMI MARELLA KURIAKOSE |
| Other Name | MARELLA KURIAKOSE HUDKINS |
| Credential | MD |
| Practice Address |
2040 W Charleston Blvd Ste 504 Las Vegas NV 89102-2207 |
| Practice Telephone | 7026716437 |
| Mailing Telephone | 7026716437 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
16076 | NV | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 16076 | NV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2040 W CHARLESTON BLVD STE 504 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922368596 | Brian M Pierson | Psychiatry & Neurology | 2040 W Charleston Blvd Ste 504, Las Vegas, NV 89102-2207 | 2012-05-17 |
| 1629331830 | Dzmitry Fursevich | Radiology | 2040 W Charleston Blvd Ste 504, Las Vegas, NV 89102-2207 | 2012-06-21 |
| 1124380597 | Helena K Russell | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd Ste 504, Las Vegas, NV 89102-2207 | 2012-06-12 |
| 1689936023 | Jessica L Farrar | Anesthesiology | 2040 W Charleston Blvd Ste 504, Las Vegas, NV 89102-2207 | 2012-06-12 |
| 1366704652 | Indervir S Grewal | Anesthesiology | 2040 W Charleston Blvd Ste 504, Las Vegas, NV 89102-2207 | 2012-06-12 |
| 1134481468 | Reema Malik | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd Ste 504, Las Vegas, NV 89102-2207 | 2012-06-12 |
| 1154683977 | Lisa Danielle Zia | Pediatrics | 2040 W Charleston Blvd Ste 504, Las Vegas, NV 89102-2207 | 2012-06-08 |
| 1982966735 | Kellen T Galster | Emergency Medicine | 2040 W Charleston Blvd Ste 504, Las Vegas, NV 89102-2207 | 2012-06-07 |
| 1194085308 | Christopher L Igtiben | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd Ste 504, Las Vegas, NV 89102-2207 | 2012-05-22 |
| 1821358490 | Brent S Betts | Ophthalmology | 2040 W Charleston Blvd Ste 504, Las Vegas, NV 89102-2207 | 2012-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396033783 | Edward Daniel Ferenczy | Emergency Medicine | 3131 La Canada St Ste 244, Las Vegas, NV 89169-2579 | 2011-07-19 |
| 1033384896 | Kid Doctors Urgent Care | Emergency Medicine | 4840 S Fort Apache, 101, Las Vegas, NV 89147-7949 | 2008-04-23 |
| 1194725358 | Jeanette Galicinao Tolentino | Emergency Medicine | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2005-07-28 |
| 1225662125 | Erin Paige Knudson | Emergency Medicine | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2020-02-28 |
| 1235471061 | Reshma Ambaram | Emergency Medicine | 2040 W Charleston Blvd, #402, Las Vegas, NV 89102-2227 | 2013-03-19 |
| 1326332545 | Robert D. Wilkinson | Emergency Medicine | 500 N Rainbow Blvd Ste 203, Las Vegas, NV 89107-1084 | 2011-06-06 |
| 1831351014 | Natasha Sidhu | Emergency Medicine | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2008-06-27 |
| 1881727436 | University of Nv School of Medicine Multi Specialty Group Practice So | Emergency Medicine | 3006 S Maryland Pkwy, 315, Las Vegas, NV 89109-2218 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699037499 | Jeffrey Benjamin Arias | Emergency Medicine | 2350 West Horizon Ridge Parkway, Henderson, NV 89052 | 2012-06-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.