IndividualActive
Abraham Kuruvilla, MD, PHD
NPI 1124004080 · Dermatology Physician · Louisville, KY
Provider details
- NPI number
- 1124004080
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 55515 (KY)
Practice location
159 S English Station Rd
Louisville, KY 40245-3996
Phone: (502) 753-0056
Fax: (502) 753-0626
Mailing address
801 York St
Manitowoc, WI 54220-4630
Registry dates
- Enumerated
- 2005-12-21
- Last updated
- 2023-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.