Individual
DR. JOHN KUNNUTHARA JOHN
Active
Individual
DR. JOHN KUNNUTHARA JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200001496
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033105739
INDIVIDUAL NPI
NC
01
—
1273P
BCBS
NC
01
—
1467405431
GROUP NPI
NC
01
—
5908296
EASTERN CAROLINA PHYSICIANS MEDICAID GROUP NUMBER FOR BEULAVILLE
NC
01
—
8901960
EASTERN CAROLINA PHYSICIANS GROUP MEDICAID NUMBER FOR KINSTON
NC
05
—
891273P
—
NC
Enumeration date
09/27/2005
Last updated
10/09/2014
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