Provider Demographics
NPI:1386959906
Name:KANT, GUNJAN (MD)
Entity type:Individual
Prefix:DR
First Name:GUNJAN
Middle Name:
Last Name:KANT
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:PO BOX 1437
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36536-1437
Mailing Address - Country:US
Mailing Address - Phone:888-212-4243
Mailing Address - Fax:888-832-0502
Practice Address - Street 1:6901 SNIDER PLAZA
Practice Address - Street 2:#130
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-5649
Practice Address - Country:US
Practice Address - Phone:972-381-6690
Practice Address - Fax:214-361-2552
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0656207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine