Individual provider Active NPI

Reema Punni, M.D

  • Student in an Organized Health Care Education/Training Program
  • Toledo, OH
National Provider Identifier
1639924939
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2109 Hughes Dr (University of Toledo)
Conrad Jobst Tower, Floor E
Toledo, OH 43606
Phone
(419) 291-0159
Fax
(419) 479-2617
NPI assigned
Apr 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2109 Hughes Dr (University of Toledo)
Conrad Jobst Tower, Floor E
Toledo, OH 43606

Mailing address

5867 Ladyburn Cres
Mississauga, ONTARIO L5M4V2
CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004003247 OH Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7719418409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1639924939",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "5867 LADYBURN CRES",
            "city": "MISSISSAUGA",
            "state": "ONTARIO",
            "postal_code": "L5M4V2"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR (UNIVERSITY OF TOLEDO)",
            "address_2": "CONRAD JOBST TOWER, FLOOR E",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606",
            "telephone_number": "419-291-0159",
            "fax_number": "419-479-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNNI",
        "first_name": "REEMA",
        "name_prefix": "Miss",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.