Provider Demographics
NPI:1124414388
Name:KUNAPAREDDY, JUNE C
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:C
Last Name:KUNAPAREDDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2133 S STATE ROAD 46
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47803-9781
Mailing Address - Country:US
Mailing Address - Phone:812-244-1800
Mailing Address - Fax:812-645-0923
Practice Address - Street 1:2133 S STATE ROAD 46
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47803-9781
Practice Address - Country:US
Practice Address - Phone:812-244-1800
Practice Address - Fax:812-645-0923
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-14
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02005755A207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology