Basic Information
Provider Information
NPI: 1992905178
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KUNDE
FirstName: SANKET
MiddleName: SHRIKAR
NamePrefix: DR.
NameSuffix:  
Credential: M.D., M.P.H.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5074
Address2:  
City: SIOUX FALLS
State: SD
PostalCode: 571175074
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1680 DIAGONAL RD
Address2:  
City: WORTHINGTON
State: MN
PostalCode: 561871008
CountryCode: US
TelephoneNumber: 5073723800
FaxNumber: 5073723806
Other Information
ProviderEnumerationDate: 07/25/2007
LastUpdateDate: 01/23/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XA126521CAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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