Provider Demographics
NPI:1881860104
Name:KUNTE, AMIT SUDHAKAR (MD, PHD)
Entity Type:Individual
Prefix:
First Name:AMIT
Middle Name:SUDHAKAR
Last Name:KUNTE
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 208022
Mailing Address - Street 2:SECTION OF INFECTIOUS DISEASES
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8022
Mailing Address - Country:US
Mailing Address - Phone:203-785-4140
Mailing Address - Fax:203-785-3864
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:HOUSE STAFF OFFICE (T-209), YALE NEW HAVEN HOSPITAL
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3220
Practice Address - Country:US
Practice Address - Phone:203-688-2259
Practice Address - Fax:203-688-5599
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTTRAINING PERMIT207RI0200X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program