Healthcare Provider Details

I. General information

NPI: 1609403476
Provider Name (Legal Business Name): NATALIE MARIE PUNAL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 SOUTH GREEN STREET
BALTIMORE MD
21231
US

IV. Provider business mailing address

840 S WOOD ST
CHICAGO IL
60612-4325
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone: 312-996-7836
  • Fax: 312-413-8283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberH0098762
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberH0098762
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: