# PUNEET DHAWAN M D INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Puneet Dhawan M D Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467675744
- **Authorized official:** DR. PUNEET DHAWAN M.D. (OWNER)
- **Authorized official phone:** (760) 416-1376

## Contact information

- **Practice address:** 7171 ALMERIA AVE, FONTANA, CA 92336-5015
- **Practice address phone:** (760) 285-4546
- **Practice address fax:** (760) 416-1381
- **Mailing address:** 15218 SUMMIT AVE STE 300-515, FONTANA, CA 92336-0232
- **Mailing address phone:** (760) 416-1376
- **Mailing address fax:** (760) 416-1381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | A66066 | CA | — |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A660660 | — | CA |