Healthcare Provider Details

I. General information

NPI: 1730512021
Provider Name (Legal Business Name): PUNEET SINGH KOCHAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2013
Last Update Date: 07/12/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 LEAD HILL BLVD STE 100
ROSEVILLE CA
95661-2941
US

IV. Provider business mailing address

3400 DATA DR
RANCHO CORDOVA CA
95670-7956
US

V. Phone/Fax

Practice location:
  • Phone: 916-535-2030
  • Fax: 916-536-3061
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA181446
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: