Healthcare Provider Details

I. General information

NPI: 1447297411
Provider Name (Legal Business Name): NARESH M PUNJABI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 12/22/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 NW 7TH AVE
MIAMI FL
33136-1104
US

IV. Provider business mailing address

1951 NW 7TH AVE
MIAMI FL
33136-1104
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-6387
  • Fax: 305-243-6372
Mailing address:
  • Phone: 305-243-6387
  • Fax: 305-243-6372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberD46132
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberME146769
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME146769
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME146769
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: