Organization
MUNDY DIAGNOSTICS PC
Active
Other names
Mundy Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RAM GUNABALAN MD (PRESIDENT)
(810) 232-9800
Entity
Organization
Contact information
Practice address
6240 RASHELLE DR, SUITE 103, FLINT, MI 48507-3934
(810) 232-9800
(810) 232-7710
Mailing address
6240 RACHELLE DR, STE 103, FLINT, MI 48507
(810) 232-9800
(810) 232-7710
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700B501880
MI BCBS
MI
Enumeration date
06/25/2008
Last updated
11/05/2008
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