Individual
ANDREW KUNDRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D0036716
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-58254
EVERCARE
—
05
—
209821100
—
MD
01
—
522096682004
TRICARE
—
01
—
522888-03
CAREFIRST BCBS OF MD
—
01
—
9680-0060
CAREFIRST BCBS OF DC
—
Enumeration date
07/13/2006
Last updated
08/23/2024
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