Provider Demographics
NPI:1043482508
Name:RUND, CHAD RICHARD (DO)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:RICHARD
Last Name:RUND
Suffix:
Gender:M
Credentials:DO
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 4270
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-4270
Mailing Address - Country:US
Mailing Address - Phone:910-687-4188
Mailing Address - Fax:910-235-0171
Practice Address - Street 1:30 PAGE ST
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-7928
Practice Address - Country:US
Practice Address - Phone:910-687-4188
Practice Address - Fax:910-235-0171
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1934207ZP0102X
NC200801126207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology