Provider Demographics
NPI:1225243652
Name:BARANWAL, PURNIMA (MD)
Entity type:Individual
Prefix:
First Name:PURNIMA
Middle Name:
Last Name:BARANWAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:585-597 MERRIMACK ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01854-3908
Mailing Address - Country:US
Mailing Address - Phone:978-746-7862
Mailing Address - Fax:978-275-9890
Practice Address - Street 1:275 VARNUM AVE STE 204
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-2109
Practice Address - Country:US
Practice Address - Phone:978-452-1666
Practice Address - Fax:978-452-1780
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2025-06-13
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Provider Licenses
StateLicense IDTaxonomies
MA232351208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1225243652Medicaid