Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125066483 | IL |
N | 111NI0900X | Internist | 125066483 | IL |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 007854 | AZ |
NPI | 1013397520 |
---|---|
Provider Name | Puneet Ralhan |
First Address | Phoenix, AZ 85016-6536 |
Second Address | Phoenix, AZ 85016-6536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2015 |
Last Update Date | 11/12/2019 |