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NPI Code Detail

MEDICARE: SUDEEP SINGH PUNIA MD

MEDICARE: SUDEEP SINGH PUNIA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician20224AZ
2207R00000XInternal Medicine PhysicianAZ20224AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073696746
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUDEEP SINGH PUNIA MD
Provider Business Mailing Address
First Line : 1609 E SHEENA DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85022-4599
Country : US
Telephone Number : 623-691-8319
Fax Number : 623-398-7678
Provider Business Practice Location Address
First Line : 7330 N 99TH AVE STE 205
Second Line :
City : GLENDALE
State : AZ
Zip : 85307-3018
Country : US
Telephone Number : 623-691-8319
Fax Number : 623-398-7678
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 10/29/2020

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Directions to “ SUDEEP SINGH PUNIA MD” Practice Location

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