Provider Demographics
NPI:1467752394
Name:BUNDU, KADIA MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:KADIA
Middle Name:MARY
Last Name:BUNDU
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Gender:F
Credentials:MD
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Mailing Address - Street 1:14760 MAIN STREET
Mailing Address - Street 2:SUITE 301
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772
Mailing Address - Country:US
Mailing Address - Phone:301-952-1370
Mailing Address - Fax:301-952-1372
Practice Address - Street 1:14760 MAIN STREET
Practice Address - Street 2:SUITE 301
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772
Practice Address - Country:US
Practice Address - Phone:301-952-1370
Practice Address - Fax:301-952-1372
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2022-01-10
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Provider Licenses
StateLicense IDTaxonomies
MDD77887207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology