Individual
DR. OMAR SURESH PUNJABI
Active
Individual
DR. OMAR SURESH PUNJABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
125054371
IL
207W00000X
Ophthalmology Physician
Primary
2013-00729
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
2013-00729
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1413612
WELLPATH/COVENTRY
NC
01
—
178GY
BCBSNC
NC
01
—
609329
WELLCARE OF SC
SC
01
—
7342147
CIGNA
—
01
—
9522709
AETNA
NC
05
—
NC1835
—
SC
01
—
P01266138
MEDICARE - RAILROAD
NC
Enumeration date
08/01/2008
Last updated
04/26/2021
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