Provider Demographics
NPI:1437325685
Name:KUNDAIKAR, DIPTI (MD)
Entity Type:Individual
Prefix:
First Name:DIPTI
Middle Name:
Last Name:KUNDAIKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 NORTH FRESNO STREET
Mailing Address - Street 2:MEDICAL STAFF SERVICES, SEQUOIA 4
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93270-2941
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7300 NORTH FRESNO STREET
Practice Address - Street 2:MEDICAL STAFF SERVICES, SEQUOIA 4
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93270-2941
Practice Address - Country:US
Practice Address - Phone:510-987-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA115255261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center