Kundlas, Gurdeep S
Kundlas, Gurdeep S is an sole proprietor health care provider with primary practice located at 7569 State Route 54 , Bath NY 14810-9533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kundlas, Gurdeep S can be contacted via phone (607) 776-2932.Contact Information
Primary practice address
7569 State Route 54
Bath NY 14810-9533
Phone: (607) 776-2932
Fax: (607) 776-3640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 206976 | New York |
Profile Details
| NPI number | 1063477677 |
|---|---|
| LBN Legal business name | Kundlas, Gurdeep S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Jul 3rd, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063477677 | NPPES |
| New York | MEDICAID | 01761751 | |
| New York | Other | 000013534 |
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