Individual
DR. PUNEET CHANDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2191 MOWRY AVE, SUITE 500-H, FREMONT, CA 94538-1725
(415) 595-8687
Mailing address
333 SANTANA ROW, APT 223, SAN JOSE, CA 95128-2000
(415) 595-8687
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
A79514
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ05957Z
MEDICARE GROUP ID
—
Enumeration date
04/20/2006
Last updated
12/27/2007
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