Provider Demographics
NPI:1326028473
Name:KUNA, RADHIKA VARADA (MD)
Entity Type:Individual
Prefix:DR
First Name:RADHIKA
Middle Name:VARADA
Last Name:KUNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RADHIKA
Other - Middle Name:
Other - Last Name:VARADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:193 STONER AVE
Mailing Address - Street 2:SUITE 340
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5587
Mailing Address - Country:US
Mailing Address - Phone:410-871-9800
Mailing Address - Fax:410-871-9801
Practice Address - Street 1:193 STONER AVE
Practice Address - Street 2:SUITE 340
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5587
Practice Address - Country:US
Practice Address - Phone:410-871-9800
Practice Address - Fax:410-871-9801
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD425616207R00000X
MDD0064205207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232359401OtherGREAT VALLEY HEALTH
PA232359401OtherGREAT VALLEY HEALTH
I31481Medicare UPIN
PA091758N2PMedicare ID - Type UnspecifiedGREAT VALLEY HEALTH-AIP
PA091758HK1Medicare ID - Type UnspecifiedGREAT VALLEY HEALTH-CLINI