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Organization

DESERT VASCULAR INSTITUTE, A PROFESSIONAL MEDICAL CORPORATION

Active
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Organization

DESERT VASCULAR INSTITUTE, A PROFESSIONAL MEDICAL CORPORATION

Active
Other names
Desert Vascular Institute
Organization subpart
No

Provider details

NPI number
Authorized official
PUNEET KHANNA MD (PRESIDENT)
(760) 836-9005
Entity
Organization

Contact information

Practice address
36955 COOK ST, SUITE 101, PALM DESERT, CA 92211-6084
(760) 836-9005
(760) 836-9055
Mailing address
36955 COOK ST, SUITE 101, PALM DESERT, CA 92211-6084
(760) 836-9005
(760) 836-9055

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
207RN0300X
Nephrology Physician
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2086S0129X
Vascular Surgery Physician

Other

Enumeration date
01/22/2014
Last updated
04/10/2014
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