Provider Demographics
NPI:1942516521
Name:KUNAM, VAMSI KRISHNA (MD)
Entity Type:Individual
Prefix:
First Name:VAMSI
Middle Name:KRISHNA
Last Name:KUNAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:440 RAYNOLDS ST # 51015
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-1613
Mailing Address - Country:US
Mailing Address - Phone:915-215-6000
Mailing Address - Fax:915-545-6607
Practice Address - Street 1:4815 ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2705
Practice Address - Country:US
Practice Address - Phone:915-215-6000
Practice Address - Fax:915-545-6607
Is Sole Proprietor?:No
Enumeration Date:2010-08-20
Last Update Date:2019-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX463432085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology