Healthcare Provider Details

I. General information

NPI: 1548642648
Provider Name (Legal Business Name): AKSHAN PUAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 E 34TH ST FL 6
NEW YORK NY
10016-4337
US

IV. Provider business mailing address

55 E 34TH ST FL 6
NEW YORK NY
10016-4337
US

V. Phone/Fax

Practice location:
  • Phone: 212-252-6020
  • Fax:
Mailing address:
  • Phone: 212-252-6020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number315911
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: