Provider Demographics
NPI:1700517646
Name:GOR, KUNJ ARUN (MBBS)
Entity type:Individual
Prefix:
First Name:KUNJ
Middle Name:ARUN
Last Name:GOR
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:920 MADISON AVENUE ROOM 542
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38163-2275
Mailing Address - Country:US
Mailing Address - Phone:901-448-6605
Mailing Address - Fax:901-448-7836
Practice Address - Street 1:920 MADISON AVENUE ROOM 542
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38163-2275
Practice Address - Country:US
Practice Address - Phone:901-448-6605
Practice Address - Fax:901-448-7836
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALMD.50265207R00000X
AL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine