Shivaprasad, Punitha

Shivaprasad, Punitha is an individual health care provider with primary practice located at 1945 Marlton Pike E Ste D , Cherry Hill NJ 08003-2160. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Shivaprasad, Punitha can be contacted via phone (856) 237-8045.

Contact Information

Primary practice address
1945 Marlton Pike E Ste D Cherry Hill NJ 08003-2160
Phone: (856) 237-8045
Fax: (856) 237-8047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036.145264 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MB09222600 New Jersey

Profile Details

NPI number 1609111699
LBN Legal business name Shivaprasad, Punitha
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2012
Last updated May 27th, 2025 - about last year

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 1609111699 NPPES
New Jersey Other 1609111699 HORIZON
New Jersey MEDICAID 0480789 HORIZON
New Jersey Other 1609111699 HORIZON

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