Penukonda, Arun K
Penukonda, Arun K is an sole proprietor health care provider with primary practice located at 323 Del Prado Blvd. S. Suite 100, Cape Coral FL 33990. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Penukonda, Arun K can be contacted via phone (239) 574-4110.Contact Information
Primary practice address
323 Del Prado Blvd. S. Suite 100
Cape Coral FL 33990
Phone: (239) 574-4110
Fax: (239) 673-6053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME0062366 | Florida |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME0062366 | Florida |
Profile Details
| NPI number | 1215018627 |
|---|---|
| LBN Legal business name | Penukonda, Arun K |
| Credentials | MD, FRCS, PA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Oct 27th, 2021 - about 3 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 | 1215018627 | NPPES |
| Florida | MEDICAID | 370617600 |
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