Gunderia, Mita D

Gunderia, Mita D is an individual health care provider with primary practice located at 3112 Sheridan Dr , Amherst NY 14226-1904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Gunderia, Mita D can be contacted via phone (716) 634-8800.

Contact Information

Primary practice address
3112 Sheridan Dr Amherst NY 14226-1904
Fax: (716) 634-8987
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 146828 New York

Profile Details

NPI number 1073560678
LBN Legal business name Gunderia, Mita D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Aug 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073560678 NPPES
New York MEDICAID 01019345

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