MEDICARE: NENA KORUNDA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	FLME0082233	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154372399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NENA KORUNDA MD

Provider Business Mailing Address
First Line	:	PO BOX 110820
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34108-0114
Country	:	US
Telephone Number	:	239-431-6464
Fax Number	:

Provider Business Practice Location Address
First Line	:	4513 EXECUTIVE DR
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-9033
Country	:	US
Telephone Number	:	239-431-6464
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	11/13/2012

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