Provider Demographics
NPI:1326132754
Name:KUNDU, SURITI (MD)
Entity Type:Individual
Prefix:DR
First Name:SURITI
Middle Name:
Last Name:KUNDU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:SURITI
Other - Middle Name:KUNDU
Other - Last Name:ACHAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4846 BARLOWS LANDING CV
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-8701
Mailing Address - Country:US
Mailing Address - Phone:858-720-1142
Mailing Address - Fax:
Practice Address - Street 1:2450 CRAVEN ST
Practice Address - Street 2:BRANCH MEDICAL CLINIC NAVAL BASE
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92136-5599
Practice Address - Country:US
Practice Address - Phone:619-556-8101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG80882207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine