Individual
DR. PRIYA PUNNOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5245
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5245
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301107849
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD046319
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2015
Last updated
05/13/2020
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