Organization
DESERT VASCULAR INSTITUTE, A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Desert Vascular Institute
Organization subpart
No
Provider details
NPI number
Authorized official
PUNEET KHANNA MD (PRESIDENT)
(760) 836-9005
Entity
Organization
Contact information
Practice address
36955 COOK ST, SUITE 101, PALM DESERT, CA 92211-6084
(760) 836-9005
(760) 836-9055
Mailing address
36955 COOK ST, SUITE 101, PALM DESERT, CA 92211-6084
(760) 836-9005
(760) 836-9055
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
—
207RN0300X
Nephrology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
01/22/2014
Last updated
04/10/2014
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