Provider Demographics
NPI:1255686895
Name:PUNJWANI, GULZAR (MD)
Entity Type:Individual
Prefix:
First Name:GULZAR
Middle Name:
Last Name:PUNJWANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8550 WOODWAY DR
Mailing Address - Street 2:C/O THE BUCKINGHAM
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2482
Mailing Address - Country:US
Mailing Address - Phone:832-755-2077
Mailing Address - Fax:877-731-7896
Practice Address - Street 1:7887 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2013
Practice Address - Country:US
Practice Address - Phone:832-755-2077
Practice Address - Fax:877-731-1896
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2014-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP4695207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine