Individual
MS. PUNAM RAGHOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 696-2583
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 696-2583
(718) 881-5074
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01089688A
IN
207L00000X
Anesthesiology Physician
Primary
20989
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2017
Last updated
08/15/2023
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