Provider Demographics
NPI:1326038795
Name:SHENAI, PUNDALIK GRANT (MD)
Entity Type:Individual
Prefix:
First Name:PUNDALIK
Middle Name:GRANT
Last Name:SHENAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4999 LOUISE DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-6907
Mailing Address - Country:US
Mailing Address - Phone:717-766-1127
Mailing Address - Fax:717-766-5518
Practice Address - Street 1:4999 LOUISE DR
Practice Address - Street 2:SUITE 105
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-6907
Practice Address - Country:US
Practice Address - Phone:717-766-1127
Practice Address - Fax:717-766-5518
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0231554207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology