Organization
KLONDIKE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAGARAJ V KUNDA (OWNER/CEO)
(314) 312-5588
Entity
Organization
Contact information
Practice address
2421 E TUDOR RD STE 105, ANCHORAGE, AK 99507-1166
(314) 402-7432
Mailing address
11520 SAINT CHARLES ROCK RD STE 105, BRIDGETON, MO 63044-2732
(314) 312-5588
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
02/27/2021
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