Individual
DR. AMITAB K G PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5310 N LA CHOLLA BLVD, TUCSON, AZ 85741-3815
(520) 229-8878
(520) 229-9107
Mailing address
5310 N LA CHOLLA BLVD, TUCSON, AZ 85741-3815
(520) 490-7171
(520) 229-9107
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25648
AZ
207RP1001X
Pulmonary Disease Physician
Primary
25648
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
25648
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0875970
BCBS OF AZ
AZ
01
—
290013518
RAILROAD MEDICARE
—
05
—
401315
—
AZ
Enumeration date
08/29/2006
Last updated
03/12/2021
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