Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | G7865 | TX |
NPI | 1295740751 |
---|---|
Provider Name | Narendra Punjabi |
First Address | Austin, TX 78759-4078 |
Second Address | Austin, TX 78759-4078 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G20724 | (02) | TX |