Provider Demographics
NPI:1174572291
Name:ARUNKUMAR, PUNITHA (MD)
Entity type:Individual
Prefix:
First Name:PUNITHA
Middle Name:
Last Name:ARUNKUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:MKB 4TH FLOOR
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-2417
Practice Address - Fax:717-851-3712
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD071832L207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7047516OtherAETNA
PA1568254OtherGATEWAY-WMG
PA59777OtherGEISINGER HEALTH PLAN
PA870493OtherHIGHMARK BLUE SHIELD
MD909870OtherCAREFIRST MD BCBS
212052OtherJOHNS HOPKINS
PA001812449Medicaid
PA20069313OtherAMERIHEALTH MERCY-WMG
225507OtherUNISON-WMG
PA50072471OtherCAPITAL BLUE CROSS-WMG
PA7047516OtherAETNA
PA040090FLTMedicare PIN