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Individual
MANISHA RAM PUNWANI
Active
Individual
MANISHA RAM PUNWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
55296
CA
2084P0804X
Child & Adolescent Psychiatry Physician
55296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119462
—
IL
Enumeration date
10/19/2005
Last updated
08/31/2014
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