Punnakkattu, Rajeesh S
Punnakkattu, Rajeesh S is an individual health care provider with primary practice located at 1828 E Florence Blvd Ste 112, Casa Grande AZ 85122-4783. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Punnakkattu, Rajeesh S can be contacted via phone (520) 374-8915.Contact Information
Primary practice address
1828 E Florence Blvd Ste 112
Casa Grande AZ 85122-4783
Phone: (520) 374-8915
Fax: (520) 374-8916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 31787 | Arizona |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 31787 | Arizona |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 31787 | Arizona |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31787 | Arizona |
Profile Details
| NPI number | 1982605887 |
|---|---|
| LBN Legal business name | Punnakkattu, Rajeesh S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Apr 2nd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982605887 | NPPES |
| Arizona | MEDICAID | 875312 | |
| Arizona | Other | WCSKQ | |
| Arizona | Other | 120730 | |
| Arizona | Other | P00174006 |
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