Healthcare Provider Details

I. General information

NPI: 1184561532
Provider Name (Legal Business Name): MAURICE KALANDE AMULUNDU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 CALDERON AVE APT 125
MOUNTAIN VIEW CA
94041-1436
US

IV. Provider business mailing address

151 CALDERON AVE APT 125
MOUNTAIN VIEW CA
94041-1436
US

V. Phone/Fax

Practice location:
  • Phone: 912-266-9580
  • Fax:
Mailing address:
  • Phone: 912-266-9580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: