Chandra Kuncham, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

154059 Issued in NY

Practice address

7404 5TH Ave
Brooklyn, NY 11209-2704

Phone

(718) 439-5111

Fax

(718) 439-6108

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1235295213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092704",
            "telephone_number": "718-439-5111",
            "fax_number": "718-439-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092704",
            "telephone_number": "718-439-5111",
            "fax_number": "718-439-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNCHAM",
        "first_name": "CHANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "154059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Kumwong, DO
• Kenneth Kun, PHARM.D
• Maya Kun, D.O.
• Mitchell Kun
• Olga Kun, IBCLC
• Elizabeth R. Kunda, DPM
• Sanchit Vijay Kundal, M.B.B.S
• Piyali Kundu-Veldhoven, LCSW
• Subhendu Kundu, M.D.
• Elena Kuneeva

• Cardiovascular Disease Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.