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NPI Code Detail

MEDICARE: NEERJA PURI M.D.

MEDICARE: NEERJA PURI M.D.
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
1208000000XPediatrics PhysicianA42147CA

General Provider Information

NPI Number : 1073700472
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEERJA PURI M.D.
Provider Business Mailing Address
First Line : 1108 N OLEANDER AVE
Second Line :
City : COMPTON
State : CA
Zip : 90222-4041
Country : US
Telephone Number : 310-763-2244
Fax Number :
Provider Business Practice Location Address
First Line : 1108 N OLEANDER AVE
Second Line :
City : COMPTON
State : CA
Zip : 90222-4041
Country : US
Telephone Number : 310-763-2244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2007
Last Update Date : 09/29/2007

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