Provider Demographics
NPI:1932493913
Name:GUNJA, MURTUZA (MD)
Entity Type:Individual
Prefix:DR
First Name:MURTUZA
Middle Name:
Last Name:GUNJA
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 1:275 THE CROSSROADS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-8685
Mailing Address - Country:US
Mailing Address - Phone:831-718-9701
Mailing Address - Fax:831-886-1538
Practice Address - Street 1:275 THE CROSSROADS BLVD STE A
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923
Practice Address - Country:US
Practice Address - Phone:831-718-9701
Practice Address - Fax:831-886-1538
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2779212084P0800X
CAA1574022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry