Individual provider Active NPI

Punam Jittin Mulji

  • General Practice Physician
  • Tulsa, OK
National Provider Identifier
1255072971
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
8355 Issued in OK
Practice address
7833 S Union Ave Apt 1823
Tulsa, OK 74132-2760
Phone
(864) 327-6279
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OK
General Practice Physician 208D00000X 8355 OK Primary

Addresses

Primary practice location

7833 S Union Ave Apt 1823
Tulsa, OK 74132-2760

Mailing address

7833 S Union Ave Apt 1823
Tulsa, OK 74132-2760
Phone (864) 327-6279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8355OKMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1255072971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7833 S UNION AVE APT 1823",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741322760",
            "telephone_number": "864-327-6279",
            "fax_number": "918-561-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7833 S UNION AVE APT 1823",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741322760",
            "telephone_number": "864-327-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULJI",
        "first_name": "PUNAM",
        "middle_name": "JITTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "8355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.