=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619111580
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KARUNA ASSOCIATES, M.D., P.A
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2009
-----------------------------------------------------
Last Update Date | 04/23/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7416 CARISSA CV
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78759-6445
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-982-1252
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7416 CARISSA CV
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78759-6445
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-982-1252
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ATTENDING PHYSICIAN
-----------------------------------------------------
Name | DR. KARUNAKARA PATURU
-----------------------------------------------------
Credential | M.D.,
-----------------------------------------------------
Telephone | 201-982-1252
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | M8242
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------