1619002540 NPI number — ARUNA KONEY,MD., PA

Table of content: (NPI 1619002540)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619002540 NPI number — ARUNA KONEY,MD., PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARUNA KONEY,MD., PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ARUNA KONEY ,MD.,PA
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619002540
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4125 RYAN LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHARDSON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75082-3753
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-761-9750
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1151 N BUCKNER BLVD
Provider Second Line Business Practice Location Address:
SUITE103
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75218-3426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-320-1200
Provider Business Practice Location Address Fax Number:
214-320-9400
Provider Enumeration Date:
02/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KONEY
Authorized Official First Name:
ARUNA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
214-320-1200

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  K3778 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com