Punnakkattu, Rajeesh S

Punnakkattu, Rajeesh S is an individual health care provider with primary practice located at 1828 E Florence Blvd Ste 112, Casa Grande AZ 85122-4783. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Punnakkattu, Rajeesh S can be contacted via phone (520) 374-8915.

Contact Information

Primary practice address
1828 E Florence Blvd Ste 112 Casa Grande AZ 85122-4783
Phone: (520) 374-8915
Fax: (520) 374-8916
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 31787 Arizona
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 31787 Arizona
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 31787 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31787 Arizona

Profile Details

NPI number 1982605887
LBN Legal business name Punnakkattu, Rajeesh S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 2nd, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982605887 NPPES
Arizona MEDICAID 875312
Arizona Other WCSKQ
Arizona Other 120730
Arizona Other P00174006

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