Provider Demographics
NPI:1609398882
Name:EDUN, ADNAAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ADNAAN
Middle Name:
Last Name:EDUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2059 HILLMAN ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-1609
Mailing Address - Country:US
Mailing Address - Phone:559-605-0090
Mailing Address - Fax:
Practice Address - Street 1:2059 HILLMAN ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-1609
Practice Address - Country:US
Practice Address - Phone:559-605-0090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA170003207Q00000X
MI4301113403207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine