Provider Demographics
NPI:1417262692
Name:NUNDKUMAR, NEELESH (MD)
Entity Type:Individual
Prefix:
First Name:NEELESH
Middle Name:
Last Name:NUNDKUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1130 N CHURCH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1038
Mailing Address - Country:US
Mailing Address - Phone:336-272-4578
Mailing Address - Fax:336-272-5931
Practice Address - Street 1:1130 N CHURCH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1038
Practice Address - Country:US
Practice Address - Phone:336-272-4578
Practice Address - Fax:336-272-5931
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2014-01542207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery