Individual
IVANDITO KUNTJORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9000 ALMEDA ROAD, 1102, HOUSTON, TX 77054
(713) 492-7218
Mailing address
9000 ALMEDA RD, 1102, HOUSTON, TX 77054-4300
(713) 492-7218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57012187
OH
Other
Enumeration date
04/30/2008
Last updated
12/08/2009
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