Provider Demographics
NPI:1124332838
Name:KUNDU, ARUNDHUTI (MD)
Entity type:Individual
Prefix:DR
First Name:ARUNDHUTI
Middle Name:
Last Name:KUNDU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 E BROADWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3705
Mailing Address - Country:US
Mailing Address - Phone:520-405-1005
Mailing Address - Fax:520-512-5401
Practice Address - Street 1:5151 E BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-3705
Practice Address - Country:US
Practice Address - Phone:520-405-1005
Practice Address - Fax:520-512-5401
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR719222084P0800X
AZ479302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ960708Medicaid