MEDICARE: DR. VINEET 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
1	2084N0400X	Neurology Physician	35.124218	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1205154754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VINEET PUNIA MD

Provider Business Mailing Address
First Line	:	1403 COPPER TRCE
Second Line	:	UNIT 305
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1412
Country	:	US
Telephone Number	:	609-235-7259
Fax Number	:

Provider Business Practice Location Address
First Line	:	1403 COPPER TRCE
Second Line	:	UNIT 305
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1412
Country	:	US
Telephone Number	:	609-235-7259
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2010
Last Update Date	:	10/26/2015

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