Punwani, Indru
Punwani, Indru is an individual health care provider with primary practice located at 801 S Paulina St Mc 621, Chicago IL 60612-7210. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Punwani, Indru can be contacted via phone (312) 996-3544.Contact Information
Primary practice address
801 S Paulina St Mc 621
Chicago IL 60612-7210
Phone: (312) 996-3544
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 019015237 | Illinois |
Profile Details
| NPI number | 1902931298 |
|---|---|
| LBN Legal business name | Punwani, Indru |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902931298 | NPPES |
| Illinois | MEDICAID | 019015237 |
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