Paul, Pudichery Kunjavara
Paul, Pudichery Kunjavara is an sole proprietor health care provider with primary practice located at 705 Harvard St , Brooksville FL 34601-2842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Paul, Pudichery Kunjavara can be contacted via phone (352) 799-3555.Contact Information
Primary practice address
705 Harvard St
Brooksville FL 34601-2842
Phone: (352) 799-3555
Fax: (352) 796-9299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME0037402 | Florida |
Profile Details
| NPI number | 1356322325 |
|---|---|
| LBN Legal business name | Paul, Pudichery Kunjavara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Aug 21st, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356322325 | NPPES |
| Florida | MEDICAID | 065645300 |
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