Provider Demographics
NPI:1902302359
Name:KURIAKOSE, ROBIN K (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:K
Last Name:KURIAKOSE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1237 B ST
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-2915
Mailing Address - Country:US
Mailing Address - Phone:510-886-5497
Mailing Address - Fax:510-886-4465
Practice Address - Street 1:1237 B ST
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-2915
Practice Address - Country:US
Practice Address - Phone:510-886-5497
Practice Address - Fax:510-886-4465
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036159615207W00000X
CAA163776207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology