MEDICARE: DR. PUNITA KASHYAP SUNDER PH.D., M.D.

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
1	208000000X	Pediatrics Physician	MD61660739	WA
2	208000000X	Pediatrics Physician	P6730	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659661551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PUNITA KASHYAP SUNDER PH.D., M.D.

Provider Business Mailing Address
First Line	:	PO BOX 841969
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-1969
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21715 KINGSLAND BLVD
Second Line	:	SUITE 103
City	:	KATY
State	:	TX
Zip	:	77450-2543
Country	:	US
Telephone Number	:	281-398-7353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2011
Last Update Date	:	03/17/2026

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