# MUNDY DIAGNOSTICS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mundy Pain Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013179738
- **Authorized official:** RAM GUNABALAN MD (PRESIDENT)
- **Authorized official phone:** (810) 232-9800

## Contact information

- **Practice address:** 6240 RASHELLE DR, SUITE 103, FLINT, MI 48507-3934
- **Practice address phone:** (810) 232-9800
- **Practice address fax:** (810) 232-7710
- **Mailing address:** 6240 RACHELLE DR, STE 103, FLINT, MI 48507
- **Mailing address phone:** (810) 232-9800
- **Mailing address fax:** (810) 232-7710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2008
- **Last updated:** 11/05/2008