Basic Information
Provider Information
NPI: 1174985931
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: THOMAS
FirstName: GEORGE
MiddleName: KURIAN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 22 S GREENE ST
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212011544
CountryCode: US
TelephoneNumber: 4103285959
FaxNumber:  
Practice Location
Address1: 125 E MAXWELL ST STE 140
Address2:  
City: LEXINGTON
State: KY
PostalCode: 405082678
CountryCode: US
TelephoneNumber: 8593230005
FaxNumber: 8593230790
Other Information
ProviderEnumerationDate: 03/22/2016
LastUpdateDate: 07/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/11/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400XME144031FLN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
207V00000X56906KYY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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