Individual
SUDEEP SINGH PUNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7330 N 99TH AVE STE 205, GLENDALE, AZ 85307-3018
(623) 691-8319
(623) 398-7678
Mailing address
1609 E SHEENA DR, PHOENIX, AZ 85022-4599
(623) 691-8319
(623) 398-7678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20224
AZ
207R00000X
Internal Medicine Physician
Primary
AZ20224
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114158001
—
AZ
Enumeration date
10/24/2006
Last updated
10/29/2020
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