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NPI Code Detail

MEDICARE: SANDEEP KUMAR PURI MD

MEDICARE: SANDEEP KUMAR PURI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician275177MA
22080P0206XPediatric Gastroenterology Physician2026-00347NC
3208000000XPediatrics Physician91546SC
42080P0206XPediatric Gastroenterology Physician91546SC
5208000000XPediatrics Physician60486MN

General Provider Information

NPI Number : 1215324116
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDEEP KUMAR PURI MD
Provider Business Mailing Address
First Line : PO BOX 110566
Second Line :
City : DURHAM
State : NC
Zip : 27709-5566
Country : US
Telephone Number : 919-620-4555
Fax Number :
Provider Business Practice Location Address
First Line : 4709 CREEKSTONE DR
Second Line :
City : DURHAM
State : NC
Zip : 27703-9822
Country : US
Telephone Number : 919-385-8880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2015
Last Update Date : 06/17/2026

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Directions to “ SANDEEP KUMAR PURI MD” Practice Location

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