Provider Demographics
NPI:1841280955
Name:KUNGYS, ARNOLDAS S (MD)
Entity type:Individual
Prefix:DR
First Name:ARNOLDAS
Middle Name:S
Last Name:KUNGYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ARNOLDAS
Other - Middle Name:S
Other - Last Name:KUNGYS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6620 COYLE AVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-6333
Mailing Address - Country:US
Mailing Address - Phone:916-536-9455
Mailing Address - Fax:916-536-9424
Practice Address - Street 1:6620 COYLE AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-6333
Practice Address - Country:US
Practice Address - Phone:916-536-9455
Practice Address - Fax:916-536-9424
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-28
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG86566207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G865660Medicare PIN
CAI02874Medicare UPIN
CA00G865661Medicare ID - Type Unspecified