Individual provider Active NPI

Kunj Arun Gor, MBBS

  • Student in an Organized Health Care Education/Training Program
  • Memphis, TN
National Provider Identifier
1700517646
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
920 Madison Avenue Room 542
Memphis, TN 38163-2275
Phone
(901) 448-6605
Fax
(901) 448-7836
NPI assigned
Jun 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.50265 AL
Student in an Organized Health Care Education/Training Program 390200000X AL Primary

Addresses

Primary practice location

920 Madison Avenue Room 542
Memphis, TN 38163-2275

Mailing address

920 Madison Avenue Room 542
Memphis, TN 38163-2275
Phone (901) 448-6605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712000159 AL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5496135105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD.50265ALMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1700517646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MADISON AVENUE ROOM 542",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381632275",
            "telephone_number": "901-448-6605",
            "fax_number": "901-448-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MADISON AVENUE ROOM 542",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381632275",
            "telephone_number": "901-448-6605",
            "fax_number": "901-448-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOR",
        "first_name": "KUNJ",
        "middle_name": "ARUN",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.50265",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.