MEDICARE: SOHAIL PUNJWANI 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	2084P0804X	Child & Adolescent Psychiatry Physician	ME54504	FL
2	2084P0800X	Psychiatry Physician	ME54504	FL

General Provider Information

NPI Number	:	1386632883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOHAIL PUNJWANI MD

Provider Business Mailing Address
First Line	:	1065 NE 125TH ST STE 300
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-5833
Country	:	US
Telephone Number	:	888-852-6672
Fax Number	:	305-891-4228

Provider Business Practice Location Address
First Line	:	7481 W OAKLAND PARK BLVD STE 100
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319-4985
Country	:	US
Telephone Number	:	954-771-7743
Fax Number	:	954-771-7748

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

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	01/15/2024

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