Punukollu, Pavan Kumar
Punukollu, Pavan Kumar is an individual health care provider with primary practice located at 1 General St , Lawrence MA 01841-2961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Punukollu, Pavan Kumar can be contacted via phone (978) 683-4000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35.074221 | Ohio |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME130248 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 269048 | Massachusetts |
Profile Details
| NPI number | 1366402273 |
|---|---|
| LBN Legal business name | Punukollu, Pavan Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Dec 5th, 2019 - about 5 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 | 1366402273 | NPPES |
| Ohio | Other | 300132093 | RAILROAD MEDICARE |
| Ohio | Other | JA839Z | RAILROAD MEDICARE |
| Ohio | Other | 000000241778 | RAILROAD MEDICARE |
| Ohio | MEDICAID | 110131865A | RAILROAD MEDICARE |
| Ohio | Other | 11286315 | RAILROAD MEDICARE |
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