Provider Demographics
NPI:1194713255
Name:KUNDU, ELLA BROOKS (MD)
Entity type:Individual
Prefix:DR
First Name:ELLA
Middle Name:BROOKS
Last Name:KUNDU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELLA
Other - Middle Name:JEAN
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3535 SOUTHERN BLVD # 6E
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-1221
Mailing Address - Country:US
Mailing Address - Phone:937-395-8949
Mailing Address - Fax:937-522-9584
Practice Address - Street 1:3535 SOUTHERN BLVD # 6E
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-1221
Practice Address - Country:US
Practice Address - Phone:937-298-4331
Practice Address - Fax:937-522-9584
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01053859A2084N0400X
MA10213872085R0202X
OH35.1328972085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology