# SUDEEP PUNIA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184237877
- **Authorized official:** JEEVAN J PUNIA (MANAGING DIRECTOR)
- **Authorized official phone:** (623) 900-2454

## Contact information

- **Practice address:** 7330 N 99TH AVE STE 205, GLENDALE, AZ 85307-3018
- **Practice address phone:** (623) 691-8319
- **Practice address fax:** (623) 398-7678
- **Mailing address:** C/O ABLOOMMEDICAL SPA, 17218 N 72ND DR,\#110, GLENDALE, AZ 85308
- **Mailing address phone:** (623) 691-8319
- **Mailing address fax:** (623) 398-7678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2020
- **Last updated:** 08/27/2020