Healthcare Provider Details
I. General information
NPI: 1982625109
Provider Name (Legal Business Name): DARIO KUNAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/22/2006
Last Update Date: 10/12/2021
Certification Date: 10/12/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6565 N CHARLES ST
BALTIMORE MD
21204-6800
US
IV. Provider business mailing address
6565 N CHARLES ST SUITE 601
BALTIMORE MD
21204-6800
US
V. Phone/Fax
- Phone: 410-821-5151
- Fax: 410-823-7866
- Phone: 410-821-5151
- Fax: 410-823-8309
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | D53272 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: