Doctor Name: | JUMIN SUNDE |
NPI Number: | 1295051050 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 33977 |
Business Practice Address: | 1005 W Market St Ste 8 Athens, AL - 356112454 |
Business Phone Number: | 2562331650 |
Business Fax Number: | |
Mailing Address: | 22824 Riviera Dr, ATHENS |
State: | AL |
Postal Code: | 356138124 |
Phone Number: | 2512596220 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2010 |
NPI Last Update Date: | 04/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 33977 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |