Vathana O. Bunya

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MD035212L Issued in PA

Practice address

2415 N 33Rd St
Philadelphia, PA 19132-2804

Phone

(215) 225-6222

Fax

(610) 668-3695

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kim May, MDPC

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1508101874
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295821742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 N 33RD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191322804",
            "telephone_number": "215-225-6222",
            "fax_number": "610-668-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 N 33RD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191322804",
            "telephone_number": "215-225-6222",
            "fax_number": "610-668-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNYA",
        "first_name": "VATHANA",
        "middle_name": "O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "MD035212L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094630304",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khatifa Bundy
• Nancy J Bunin, M.D.
• Klaudia Anna Bunkowski, PA-C
• Taylor Bunn-Newbill, PMHNP-BC
• Bunny Home Care, LLC.
• Vatinee Y Bunya, MD
• Lindsay Bunyard, PT
• Taylor Rose Buonocore
• Buonomo Medical Associates Inc.
• Alexandra Gantt Buonomo, CRNP

• Adult Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Adult Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.