Individual
IMRAN M. PUTHAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036166507
IL
207RH0003X
Hematology & Oncology Physician
MD61283210
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952780637
—
WA
Enumeration date
05/27/2015
Last updated
10/06/2023
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