Individual
PUNITA SOMNATH PANDYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
(707) 525-5300
Mailing address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
(707) 525-5300
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A156450
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/16/2015
Last updated
06/05/2020
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