Individual
PUNEET K KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, HAL B WALLIS, RANCHO MIRAGE, CA 92270-3221
(760) 346-0642
Mailing address
39000 BOB HOPE DR, HAL B WALLIS, RANCHO MIRAGE, CA 92270-3221
(760) 346-0642
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A45577
CA
207RI0011X
Interventional Cardiology Physician
Primary
45577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A455770
—
CA
Enumeration date
03/28/2006
Last updated
01/06/2015
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