Basava Kunamnemi, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

00C512320 Issued in CA

Practice address

2800 N California St
Stockton, CA 95204

Phone

(209) 464-7681

Fax

(209) 464-1647

NPI assigned

Jul 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1376558239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N CALIFORNIA STREET",
            "address_2": "SUITE 14",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95204",
            "telephone_number": "209-942-1005",
            "fax_number": "209-942-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95204",
            "telephone_number": "209-464-7681",
            "fax_number": "209-464-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNAMNEMI",
        "first_name": "BASAVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00C51232D",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "00C512320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00473872",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C51232D",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sahil Kumar
• Vineel Kushant Kumar, DO
• Kanchan Kumari
• Kumars Transport
• Rajesh Kunadharaju, MBBS
• Hymavathi Devi Kunamneni, PH.D
• Matthew Kung, M.D.
• Kunimoto Dental Corp
• Alexandria Lynn Kunkel
• Kaitlin Cooper Kunkle

• Interventional Cardiology Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.