Klondike Medical Group, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

KLONDIKE MEDICAL GROUP, LLC

Practice address

2421 E Tudor Rd Ste 105
Anchorage, AK 99507-1166

Phone

(314) 402-7432

NPI assigned

Aug 11, 2020

Organization subpart

No

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

Authorized official

Name

Nagaraj V Kunda

Title

Owner/Ceo

Phone

(314) 312-5588

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614384000000",
    "number": "1659982924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 SAINT CHARLES ROCK RD STE 105",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442732",
            "telephone_number": "314-312-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 E TUDOR RD STE 105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071166",
            "telephone_number": "314-402-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLONDIKE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A",
        "authorized_official_last_name": "KUNDA",
        "authorized_official_first_name": "NAGARAJ",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "314-312-5588"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronika Kline
• Max Klingenstein, DDS
• Yael Miriam Shoshana Klionsky, M.D
• Mary Klix, MD
• William Klofkorn
• Staci Rae Kloster, RDN
• Sharon Kay Klotz, OTR/L
• Monica Joan Klouda, PHARM.D.
• Rosanne Louise Klouda, LMT
• Matthew Kluckman, M.D.

• Pulmonary Disease Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Pulmonary Disease Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.