Provider Demographics
NPI:1124373196
Name:BUCH, KUNAL B (MD)
Entity Type:Individual
Prefix:DR
First Name:KUNAL
Middle Name:B
Last Name:BUCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 3877
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60434-3877
Mailing Address - Country:US
Mailing Address - Phone:815-714-7149
Mailing Address - Fax:815-435-5080
Practice Address - Street 1:601A PROFESSIONAL DR
Practice Address - Street 2:SUITE 235
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046
Practice Address - Country:US
Practice Address - Phone:470-292-3957
Practice Address - Fax:470-292-3683
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2022-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA30322207RN0300X
NC201501475207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine