Provider Demographics
NPI:1790933547
Name:PATIL, PUNAM M (MD)
Entity Type:Individual
Prefix:DR
First Name:PUNAM
Middle Name:M
Last Name:PATIL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4800 HEDGCOXE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2403
Mailing Address - Country:US
Mailing Address - Phone:469-800-6120
Mailing Address - Fax:469-800-6129
Practice Address - Street 1:4800 HEDGCOXE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2403
Practice Address - Country:US
Practice Address - Phone:469-800-6120
Practice Address - Fax:469-800-6129
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2022-04-07
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Provider Licenses
StateLicense IDTaxonomies
TXP7328207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine