Individual
PUNEETH IYENGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Contact information
Practice address
5801 FOREST PARK ROAD, DALLAS, TX 75390-9183
(646) 408-3485
Mailing address
5801 FOREST PARK ROAD, DALLAS, TX 75390-9183
(646) 408-3485
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
N6383
TX
Other
Enumeration date
02/05/2010
Last updated
07/21/2010
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