Provider Demographics
NPI:1881692879
Name:KUNDRAT, MARY LOUISE (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:LOUISE
Last Name:KUNDRAT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4928 BAYARD ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1802
Mailing Address - Country:US
Mailing Address - Phone:412-682-3848
Mailing Address - Fax:412-544-2950
Practice Address - Street 1:120 5TH AVE
Practice Address - Street 2:HIGHMARK P-4205
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3000
Practice Address - Country:US
Practice Address - Phone:412-544-3091
Practice Address - Fax:412-544-2950
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD-018828E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine