Healthcare Provider Details

I. General information

NPI: 1275583395
Provider Name (Legal Business Name): PUNEET SETHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9410 CALUMET AVE STE 102
MUNSTER IN
46321-0018
US

IV. Provider business mailing address

9410 CALUMET AVE STE 102
MUNSTER IN
46321-0018
US

V. Phone/Fax

Practice location:
  • Phone: 219-237-0363
  • Fax: 877-319-1742
Mailing address:
  • Phone: 219-237-0363
  • Fax: 877-319-1742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036092741
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number036092741
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number01065019A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: