Provider Demographics
NPI:1902035306
Name:KUNAM, RAMYA (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAMYA
Middle Name:
Last Name:KUNAM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3086 STATE ROUTE 27 STE 5
Mailing Address - Street 2:
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824-1658
Mailing Address - Country:US
Mailing Address - Phone:732-422-1900
Mailing Address - Fax:732-422-1901
Practice Address - Street 1:3086 STATE ROUTE 27 STE 5
Practice Address - Street 2:
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824-1658
Practice Address - Country:US
Practice Address - Phone:732-422-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0379701223G0001X
NJ22DI026687001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ22DI02668700OtherDENTAL LICENCE