Individual provider · Type 1 NPI

Amukthamalyada Kunduru, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1295472041 Active

Practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Mailing address

1311 Mcclintock Dr
Denton, TX 76208-5292

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295472041

Amukthamalyada Kunduru, DO's National Provider Identifier is 1295472041, issued on May 13, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 19, 2025.