Kalyan K Pundla, MD
Internal Medicine in Enfield, Connecticut
1306137435- Practice location
- 100 Hazard Ave Ste 101, Enfield, CT 06082-5447
- Phone
- 860-696-2380
- Fax
- —
- Last updated
- June 18, 2020
Kalyan K Pundla is an Internal Medicine based in Enfield, CT. Kalyan K Pundla practices in Enfield, CT and has the professional credentials of MD. The NPI Number for Kalyan K Pundla is 1306137435 and holds a License No. 258256 (MA). The current practice location address for Kalyan K Pundla is 100 Hazard Ave Ste 101, Enfield, CT 06082-5447 and can be reached out via phone at 860-696-2380.
Provider Profile Details
- NPI Number
- 1306137435
- Provider Name
- Kalyan K Pundla
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Hazard Ave Ste 101, Enfield, CT 06082-5447
- Phone Number
- 860-696-2380
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 23, 2011
- Last Update Date
- June 18, 2020
- Certification Date
- June 18, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Hazard Ave Ste 101
Enfield, CT 06082-5447 - City
- Enfield
- State
- Connecticut
- Zip
- 06082-5447
- Phone Number
- 860-696-2380
Provider Business Mailing Address Details
- Address
- 1290 Silas Deane Hwy
Hhc Cvo Enrollment 1ST Floor
Wethersfield, CT 06109-4337 - City
- Wethersfield
- State
- CT
- Zip
- 06109-4337
- Phone Number
- 860-972-6970
License Information
- License Number (1)
- 258256
- License State (1)
- MA
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 65199
- License State (2)
- CT
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
- License Number (3)
- 258256
- License State (3)
- MA
- Taxonomy (3)
- Hospitalist · 208M00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Enfield, CT
View all Internal Medicine providers in Enfield →Frequently Asked Questions
What is the NPI number of Kalyan K Pundla, MD?
The NPI number of Kalyan K Pundla, MD is 1306137435. It was assigned on April 23, 2011 and is currently active in the NPPES registry.
What is the specialty of Kalyan K Pundla, MD?
Kalyan K Pundla, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 258256.
Where does Kalyan K Pundla, MD practice?
The practice location is 100 Hazard Ave Ste 101, Enfield, CT 06082-5447. The office can be reached at 860-696-2380 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306137435 directly on the NPPES registry website.