Basic Information
| Provider Information | |||||||||
| NPI: | 1336219823 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KUNDU | ||||||||
| FirstName: | BEJOY | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8 LONGVIEW DRIVE | ||||||||
| Address2: | |||||||||
| City: | BOW | ||||||||
| State: | NH | ||||||||
| PostalCode: | 033044808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6032260338 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3 DENNY HILL ROAD | ||||||||
| Address2: | |||||||||
| City: | WARNER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03278 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6034563181 | ||||||||
| FaxNumber: | 6034563354 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/09/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0300X | 5121 | NH | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine |
ID Information
| ID | Type | State | Issuer | Description | EDS82114087 | 05 | NH | MEDICAID |