Punja, Manohar Mulki

Punja, Manohar Mulki is an individual health care provider with primary practice located at 24900 Se Stark St Suite 103, Gresham OR 97030-3355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Punja, Manohar Mulki can be contacted via phone (503) 665-4278.

Contact Information

Primary practice address
24900 Se Stark St Suite 103 Gresham OR 97030-3355
Phone: (503) 665-4278
Fax: (503) 665-7766
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD08438 Oregon

Profile Details

NPI number 1245222512
LBN Legal business name Punja, Manohar Mulki
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jul 9th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245222512 NPPES
Washington MEDICAID 1089895
Washington MEDICAID 150698

Popular Providers