Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 53150 | MN |
Y | 2080P0202X | Pediatric Cardiologist | 52465 | AZ |
NPI | 1235367186 |
---|---|
Provider Name | Kavitha Narasimhan Pundi |
First Address | Phoenix, AZ 85018-2327 |
Second Address | Glendale, AZ 85306-4688 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 26/03/2018 |