Provider Demographics
NPI:1871728972
Name:KURRA, ANUPAMA (MD)
Entity type:Individual
Prefix:DR
First Name:ANUPAMA
Middle Name:
Last Name:KURRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 HOME ACRES AVE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3518
Mailing Address - Country:US
Mailing Address - Phone:203-296-2016
Mailing Address - Fax:203-923-1010
Practice Address - Street 1:164 HOME ACRES AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3518
Practice Address - Country:US
Practice Address - Phone:203-296-2016
Practice Address - Fax:203-923-1010
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME131125208100000X
CT52230208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation