Healthcare Provider Details

I. General information

NPI: 1003636184
Provider Name (Legal Business Name): SAIRA PUNJWANI HEMANI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2024
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 S LINDSAY RD STE 129
GILBERT AZ
85297-1508
US

IV. Provider business mailing address

200 W GERMANN RD APT 1085
CHANDLER AZ
85286-3700
US

V. Phone/Fax

Practice location:
  • Phone: 718-216-7002
  • Fax:
Mailing address:
  • Phone: 718-216-7002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10985
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number66064
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: