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NPI 1942516521

NPI 1942516521 : VAMSI KRISHNA KUNAM MD : EL PASO, TX

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General NPI Number Information
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    NPI Number           |    1942516521
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    Entity Type          |    Individual 
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    Provider Name        |    VAMSI KRISHNA KUNAM MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/20/2010
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    Last Update Date     |    07/02/2025
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Provider Practice Location Address
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    Address Line         |    4815 ALAMEDA AVE 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79905-2705
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    Country              |    US
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    Telephone            |    915-215-6000
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    Fax                  |    915-545-6607
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5074 
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    City                 |    SIOUX FALLS
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    State                |    SD
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    Zip                  |    57117-5074
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    78722
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    21793
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    License Number State |    ND
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Taxonomy #3
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    46343
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    License Number State |    TX
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