Healthcare Provider Details

I. General information

NPI: 1659909612
Provider Name (Legal Business Name): PUNEET RAMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 S DOBSON RD STE 1
CHANDLER AZ
85286-6164
US

IV. Provider business mailing address

1110 S DOBSON RD STE 1
CHANDLER AZ
85286-6164
US

V. Phone/Fax

Practice location:
  • Phone: 623-238-7540
  • Fax: 480-899-5216
Mailing address:
  • Phone: 623-238-7540
  • Fax: 480-899-5216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number036165180
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number64135
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: