Mukhtair Singh Kundi, M.D., Inc., a Medical Corporation

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

A41283 Issued in CA

Legal business name

MUKHTAIR SINGH KUNDI, M.D., INC., A MEDICAL CORPORATION

Practice address

1740 W Cameron Ave
Suite 110
West Covina, CA 91790-2719

Phone

(626) 960-1402

Fax

(626) 337-7651

NPI assigned

Apr 29, 2011

Organization subpart

No

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

Authorized official

Name

Mukhtair Singh Kundi, M.D.NPI 1821158775

Title

Owner

Phone

(626) 960-1402

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MUKHTAIR SINGH KUNDI, M.D. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mukhtair Singh Kundi, MD

  • Neurology Physician
  • West Covina, CA
  • NPI 1821158775
  Medicare reassignment NPD Authorized official
• Sadiq Lafta Altamimi, MD

  • Clinical Neurophysiology Physician
  • Pomona, CA
  • NPI 1639381619
  NPD (past)
• Bhupatrai H Desai, M.D.

  • Neurology Physician
  • Upland, CA
  • NPI 1649362633
  NPD (past)
• Puja Mathur, MD

  • Clinical Neurophysiology Physician
  • Pomona, CA
  • NPI 1366709438
  NPD (past)

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1578854170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W CAMERON AVE",
            "address_2": "SUITE 110",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902719",
            "telephone_number": "626-960-1402",
            "fax_number": "626-337-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W CAMERON AVE",
            "address_2": "SUITE 110",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902719",
            "telephone_number": "626-960-1402",
            "fax_number": "626-337-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKHTAIR SINGH KUNDI, M.D., INC., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "KUNDI",
        "authorized_official_first_name": "MUKHTAIR",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-960-1402",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "A41283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A41283",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "2762110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MUKHTAIR SINGH KUNDI, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Henry S. Moussa, R.P.T.
• Move Fine Inc.
• Kimberly Moya
• Krystal Mueller
• Hyder M. Mukadam, MD
• Asia Mullins, CLINICAL SUPERVISOR
• Martha Mulugeta, NP
• Mumtaz Akram MD Inc
• Mariana Munatones, NP
• Gabriel Munoz

• Exclusive Provider Organization in West Covina, CA
• Providers in West Covina, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.