Individual
ANDREW KUNDRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8356 SAND CHERRY LN, LAUREL, MD 20723-1087
(301) 604-3416
Mailing address
8356 SAND CHERRY LN, LAUREL, MD 20723-1087
(301) 604-3416
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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