Organization Active NPI

Kunjana Mavunda MD PA

  • Pediatrics Physician
  • South Miami, FL
National Provider Identifier
1639530397
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME47855 Issued in FL
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

Updated by the provider on Mar 9, 2016

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.