Provider Demographics
NPI:1932160421
Name:APIBUNYOPAS, KRITA (MD)
Entity Type:Individual
Prefix:
First Name:KRITA
Middle Name:
Last Name:APIBUNYOPAS
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 1:9125 BELAIR ROAD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-1603
Mailing Address - Country:US
Mailing Address - Phone:410-256-1221
Mailing Address - Fax:410-256-3852
Practice Address - Street 1:9125 BELAIR ROAD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236-1603
Practice Address - Country:US
Practice Address - Phone:410-256-1221
Practice Address - Fax:410-256-3852
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0016307208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
B70651Medicare UPIN