Provider Demographics
NPI:1154609030
Name:DUNN, NEHA M (MD)
Entity type:Individual
Prefix:
First Name:NEHA
Middle Name:M
Last Name:DUNN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NEHA
Other - Middle Name:
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3570 S TUTTLE AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6405
Mailing Address - Country:US
Mailing Address - Phone:941-927-4888
Mailing Address - Fax:309-671-2167
Practice Address - Street 1:3570 S TUTTLE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6405
Practice Address - Country:US
Practice Address - Phone:941-927-4888
Practice Address - Fax:309-671-2167
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125059188207R00000X
IL036.141722207RA0201X
FLME159245207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology