Individual
DR. LOUIS V PUNEKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF ONCOLOGY, JACKSON, MS 39216-4500
(601) 984-5590
Mailing address
2500 NORTH STATE STREET, DIVISION OF ONCOLOGY, JACKSON, MS 39216-4500
(601) 984-5590
(601) 984-5599
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
11171
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113407
—
MS
05
—
103358
—
AL
05
—
1680117
—
LA
01
—
P01245589
RAILROAD MEDICARE
MS
01
—
RR P00127265
RAILROAD
MS
Enumeration date
06/22/2006
Last updated
04/09/2014
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