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Contact Information

TEESSA PEREKATTU KURUVILLA, MD
DEPARTMENT OF RADIATION ONCOLOGY
350 WOODROW WILSON DR
JACKSON, MS39216-4505
 Phone: 601-815-6886
 Fax: 601-815-1846
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for TEESSA PEREKATTU KURUVILLA · (Female)

NPI Number 1124584800
Status Active
Credentials MD
Entity Individual
Enumeration date 02/18/2019
Last updated 10/10/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01095903A
  • MS License # T-3726
  • MS Other T-3726 MS STATE BOARD OF MEDICAL LICENSURE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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