Provider Demographics
NPI:1528079290
Name:KUNTE, UDAY SITAKANT (MD)
Entity type:Individual
Prefix:
First Name:UDAY
Middle Name:SITAKANT
Last Name:KUNTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1203 LANGHORNE NEWTOWN RD STE 226
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1224
Mailing Address - Country:US
Mailing Address - Phone:215-752-3330
Mailing Address - Fax:215-752-3036
Practice Address - Street 1:1226 LINDEN AVE
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7416
Practice Address - Country:US
Practice Address - Phone:215-752-3330
Practice Address - Fax:215-752-3036
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA03803900208600000X
PAMD038887L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
2708734003OtherCIGNA
0021833000OtherKEYSTONE
1018901OtherHORIZON NJ HEALTH
34162OtherUS HEALTHCARE
880194494OtherHORIZON
ME000006900OtherAMERICHOICE
BU5237OtherOXFORD
NJ4057201Medicaid
880194494OtherUNITED HEALTHCARE
34162OtherUS HEALTHCARE