Active NPI
Kunjana Mavunda MD PA
- Pediatrics Physician
- South Miami, FL
National Provider Identifier
1639530397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME47855
- Legal business name
- KUNJANA MAVUNDA MD PA
- Practice address
- 6280 SW 72ND St
Suite 607
South Miami, FL 33143-4827 - Phone
- (305) 668-0075
- Fax
- (305) 668-6299
- NPI assigned
- Mar 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kunjana Mavunda, MD
- Title
- Owner
- Phone
- (305) 668-0075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME47855 | FL | Primary |
Addresses
Primary practice location
6280 SW 72ND St
Suite 607
South Miami, FL 33143-4827
Mailing address
6400 SW 122ND St
Miami, FL 33156-5549
Phone (305) 668-0075
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457481600000",
"number": "1639530397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 SW 122ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331565549",
"telephone_number": "305-668-0075",
"fax_number": "305-668-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6280 SW 72ND ST",
"address_2": "SUITE 607",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434827",
"telephone_number": "305-668-0075",
"fax_number": "305-668-6299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KUNJANA MAVUNDA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-09",
"last_updated": "2016-03-09",
"status": "A",
"authorized_official_last_name": "MAVUNDA",
"authorized_official_first_name": "KUNJANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-668-0075",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME47855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.