Canan Avunduk, MD PHD
Individual provider Active NPI Gastroenterology Physician · Melrose, MA
NPI 1982671129 · NPPES record last updated May 24, 2010
Key facts
- NPI
- 1982671129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 46084 (MA)
- Practice address
- 536 Lebanon St
Melrose, MA 02176 - Phone
- (781) 979-0286
- Fax
- (781) 979-0324
- NPI assigned
- Mar 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46084 | MA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canan Avunduk, MD. PHD | Gastroenterology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 46084 | MA | Yes |
Addresses
Primary practice location
536 Lebanon St
Melrose, MA 02176
Mailing address
536 Lebanon St
Melrose, MA 02176
Phone (781) 979-0286
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6175864 | Medicaid | MA |
Other providers in Melrose, MA
- Samia Arado
- Jeffrey L Arbetter
- Jason J Arruda
- Courtney Michelle Moore Ashley
- Jana Tamer Attia
- Tyler Axelson
- Deepika Bagwe
- Kristen E Bakis Cook
- Desola-Vasilisa Bamgbala
- Kimberly Bennett Barad
All providers in Melrose, MA · Gastroenterology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.