Provider Demographics
NPI:1699736629
Name:ALNAIF, BUNAN (MD)
Entity type:Individual
Prefix:DR
First Name:BUNAN
Middle Name:
Last Name:ALNAIF
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 1:3806 B POPLAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321
Mailing Address - Country:US
Mailing Address - Phone:757-484-7200
Mailing Address - Fax:757-484-2323
Practice Address - Street 1:3806 POPLAR HILL RD STE B
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-5533
Practice Address - Country:US
Practice Address - Phone:757-484-7200
Practice Address - Fax:757-484-2323
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101059316207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6210562Medicaid
VA6210562Medicaid
160001778Medicare ID - Type Unspecified