Provider Demographics
NPI:1639478993
Name:YOONUS-KUNJU, NAVAS SOFIA
Entity Type:Individual
Prefix:
First Name:NAVAS
Middle Name:SOFIA
Last Name:YOONUS-KUNJU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1429 W RUNNING BROOK RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5045
Mailing Address - Country:US
Mailing Address - Phone:615-525-3142
Mailing Address - Fax:
Practice Address - Street 1:1429 W RUNNING BROOK RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-5045
Practice Address - Country:US
Practice Address - Phone:615-525-3142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23508183500000X
KY13466183500000X
IN26022207A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist