Adam Joseph Kundishora, MD in New Haven, CT - Medicare Student in an Organized Health Care Education/Training Program

Adam Joseph Kundishora, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Haven, Connecticut. His current practice location is 789 Howard Ave, Dept Of Neurosurgery, Tmp 4th Floor, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 785-2805.

Adam Joseph Kundishora is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497103519.

Contact Information

	Adam Joseph Kundishora, MD
	789 Howard Ave, Dept Of Neurosurgery, Tmp 4th Floor, New Haven, CT 06519-1304
	(203) 785-2805
	Not Available

Physician's Profile

Full Name	Adam Joseph Kundishora
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	789 Howard Ave, New Haven, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497103519
Provider Enumeration Date: 05/31/2016
Last Update Date: 02/10/2023

Medicare PECOS Information:

PECOS PAC ID: 7214221951
Enrollment ID: I20160803001988

Medical Identifiers

Medical identifiers for Adam Joseph Kundishora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497103519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	MD469564 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adam Joseph Kundishora is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Adam Joseph Kundishora, MD 789 Howard Ave, Dept Of Neurosurgery, Tmp 4th Floor, New Haven, CT 06519-1304 Ph: (203) 785-2805	Adam Joseph Kundishora, MD 789 Howard Ave, Dept Of Neurosurgery, Tmp 4th Floor, New Haven, CT 06519-1304 Ph: (203) 785-2805

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Adam Joseph Kundishora, MD - Medicare Student in an Organized Health Care Education/Training Program in New Haven, CT