Subhash Ramchandra Puranik, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME30389 Issued in FL

Practice address

300 NW 70TH Ave
Suite 202
Plantation, FL 33317-2384

Phone

(954) 584-8500

Fax

(954) 792-0192

NPI assigned

Sep 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Florida Pediatric Surgeons PA

  • Pediatric Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1962512061
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932211158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE",
            "address_2": "SUITE 202",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172384",
            "telephone_number": "954-584-8500",
            "fax_number": "954-792-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE",
            "address_2": "SUITE 202",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172384",
            "telephone_number": "954-584-8500",
            "fax_number": "954-792-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURANIK",
        "first_name": "SUBHASH",
        "middle_name": "RAMCHANDRA",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME30389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059193900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Klash Pulido, MD
• Sat P Punyani, MD
• David Florin Pupaza, MD
• Pupo Dental, Inc
• Pur Aesthetics (Samsara Aesthetics and Wellness)
• Jacob Putkowski, PA-C
• Theresa Pyle
• Nancy Pyram-Bernard, D.O
• Balawal Qaiser, DO
• Quality Diagnostic & Medical Center Inc.

• Specialist in Plantation, FL
• Providers in Plantation, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.