MEDICARE: DR. ALEXANDER KUNJAPPY 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	J9732	TX

General Provider Information

NPI Number	:	1871697441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER KUNJAPPY MD

Provider Business Mailing Address
First Line	:	1901 VETERANS MEMORIAL DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76504-7451
Country	:	US
Telephone Number	:	254-743-1133
Fax Number	:

Provider Business Practice Location Address
First Line	:	1651 ROCK PRAIRIE RD
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77845-8652
Country	:	US
Telephone Number	:	979-680-0361
Fax Number	:

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

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	09/19/2013

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