Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | M7625 | TX |
N | 111NI0900X | Internist | M7625 | TX |
Y | 207RA0201X | Internist - Allergy & Immunology | 56163 | AZ |
NPI | 1265645782 |
---|---|
Provider Name | Puneet Shroff |
First Address | Tucson, AZ 85724-0001 |
Second Address | Tucson, AZ 85719 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 31/10/2019 |