Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 62474 | AZ |
N | 207RH0003X | Hematology & Oncology | A141219 | CA |
NPI | 1053751800 |
---|---|
Provider Name | Dr. Nathan Punwani |
First Address | Scottsdale, AZ 85259-5499 |
Second Address | Scottsdale, AZ 85259-5499 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2013 |
Last Update Date | 02/11/2021 |