Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 072852 | GA |
N | 2086S0129X | Vascular Surgeon | 240138 | NY |
N | 2086S0129X | Vascular Surgeon | 241003 | MA |
N | 2086S0129X | Vascular Surgeon | 66641 | WI |
Y | 2086S0129X | Vascular Surgeon | D0071690 | MD |
N | 2086S0129X | Vascular Surgeon | MD425161 | PA |
N | 2086S0129X | Vascular Surgeon | ME121025 | FL |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 240138 | NY |
NPI | 1104073808 |
---|---|
Provider Name | Ratna M. Kunasani |
First Address | Greenbelt, MD 20770-2250 |
Second Address | Greenbelt, MD 20770-2250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2008 |
Last Update Date | 14/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100061773 | (05) | WI |
1025775030004 | (05) | PA |
1025775060001 | (05) | PA |
117766400 | (05) | MD |
PO1806060 | RAILROAD MEDICARE (01) | PA |