Individual
KALYAN K PUNDLA
Active
Individual
KALYAN K PUNDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
258256
MA
207R00000X
Internal Medicine Physician
Primary
65199
CT
208M00000X
Hospitalist Physician
258256
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65199
CT LIC
CT
Enumeration date
04/23/2011
Last updated
06/18/2020
Update your record
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