Punatar, Harendra Keshavlal

Punatar, Harendra Keshavlal is an individual health care provider with primary practice located at 3536 Mendocino Ave Ste 200, Santa Rosa CA 95403-3634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Punatar, Harendra Keshavlal can be contacted via phone (707) 573-6166.

Contact Information

Primary practice address
3536 Mendocino Ave Ste 200 Santa Rosa CA 95403-3634
Phone: (707) 573-6166
Fax: (707) 573-6165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A40868 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A40868 California

Profile Details

NPI number 1699773432
LBN Legal business name Punatar, Harendra Keshavlal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Feb 8th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699773432 NPPES
California Other 00A408680 BLUE SHIELD OF CALIFORNIA
California MEDICAID 00A408680 BLUE SHIELD OF CALIFORNIA
California Other 060017510 BLUE SHIELD OF CALIFORNIA

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