Provider Demographics
NPI:1669422325
Name:KUNWAR, ARUN R (MD)
Entity type:Individual
Prefix:
First Name:ARUN
Middle Name:R
Last Name:KUNWAR
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 1:210 COURT ST STE 4
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-4546
Mailing Address - Country:US
Mailing Address - Phone:315-221-4381
Mailing Address - Fax:315-221-4382
Practice Address - Street 1:210 COURT ST STE 4
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-4546
Practice Address - Country:US
Practice Address - Phone:315-221-4381
Practice Address - Fax:315-221-4382
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244543-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
I49847Medicare UPIN
RA9753Medicare PIN