Individual
DR. PURNIMA SAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8630 FENTON ST, SUITE 906, SILVER SPRING, MD 20910-3806
(301) 565-3699
(301) 585-1007
Mailing address
8630 FENTON ST, SUITE 906, SILVER SPRING, MD 20910-3806
(301) 565-3699
(301) 585-1007
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
D0026623
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2099055
—
MD
01
—
P00773612
RAILROAD MEDICARE
DC
Enumeration date
07/11/2005
Last updated
03/11/2010
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