Sudeep Punia MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SUDEEP PUNIA MD PC

Practice address

7330 N 99TH Ave Ste 205
Glendale, AZ 85307-3018

Phone

(623) 691-8319

Fax

(623) 398-7678

NPI assigned

Aug 24, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeevan J Punia

Title

Managing Director

Phone

(623) 900-2454

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1184237877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O ABLOOMMEDICAL SPA",
            "address_2": "17218 N 72ND DR,#110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "623-691-8319",
            "fax_number": "623-398-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 N 99TH AVE STE 205",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853073018",
            "telephone_number": "623-691-8319",
            "fax_number": "623-398-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDEEP PUNIA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "PUNIA",
        "authorized_official_first_name": "JEEVAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "623-900-2454"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wvimaz.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "17218 N 72nd Dr Ste 110",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853088567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alma Irasema Stutz
• Mustafa Suaray
• Joshua Albert Subialka, PT
• Successful Journeys, LLC
• Neven Sudani
• Harry Suffron, EDUCATION SPECIALIST
• Chris A Sullivan, PHARMD
• Christopher David Sullivan, M.D, M.P.H.
• Jack Sullivan, DPT
• Kelli M Sullivan IX

• Medical Specialty Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.