Individual
PUNITA R HALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3991 DUTCHMANS LN, STE 205, LOUISVILLE, KY 40207-4723
(502) 899-6170
(502) 899-6179
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29679
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350556
ANTHEM - NMA
KY
01
—
000052155A
HUMANA / NMA
—
01
—
020504
SIHO - NMA
KY
01
—
1203693
CHA / NMA
—
01
—
2686561000
PASSPORT ADVANTAGE - NMA
KY
01
—
3074627003
CIGNA / NMA
—
01
—
50008831
PASSPORT - NMA
KY
05
—
6429691
—
KY
01
—
P00176843
RAILROAD MEDICARE
KY
Enumeration date
04/19/2006
Last updated
07/18/2022
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