Provider Demographics
NPI:1073305561
Name:IMRAN PUNEKAR MD PHD PC
Entity type:Organization
Organization Name:IMRAN PUNEKAR MD PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:IMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PUNEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:855-374-6726
Mailing Address - Street 1:626 1ST AVE APT W45G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3950
Mailing Address - Country:US
Mailing Address - Phone:585-754-6668
Mailing Address - Fax:
Practice Address - Street 1:45 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3487
Practice Address - Country:US
Practice Address - Phone:855-374-6726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain