Individual
NOORUDDIN S PUNJWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 OLMSTEAD PARK DR, SUGAR LAND, TX 77479-4424
(303) 933-8270
Mailing address
2201 N CENTRAL EXPY STE 185, RICHARDSON, TX 75080-2763
(303) 933-8270
(972) 437-3369
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
015871
ME
2085R0202X
Diagnostic Radiology Physician
28201
OK
2085R0202X
Diagnostic Radiology Physician
Primary
M9586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023186
ANTHEM BCBS
—
05
—
311320099
—
ME
Enumeration date
05/25/2006
Last updated
04/12/2012
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