person
Manohar Mulki Punja, MD
Cardiovascular Disease Physician in Gresham, Oregon
NPI 1245222512

Manohar Mulki Punja is a Cardiovascular Disease Physician based in Portland, OR and is specialized in Cardiovascular Disease. Manohar Mulki Punja practices in Gresham, OR and has the professional credentials of MD. The NPI Number for Manohar Mulki Punja is 1245222512 and holds a License No. MD08438 (Oregon).

The current practice location address for Manohar Mulki Punja is 24900 Se Stark St, Gresham, OR and can be reached out via phone at 503-665-4278 and via fax at 503-665-7766. You can also correspond with Manohar Mulki Punja through the mailing address at 975 SE SANDY BLVD, PORTLAND, OR - 97214-1308 (mailing address contact number: 503-963-2846).

Location: 24900 Se Stark St, Gresham, OR, 97214-1308
person
Provider Profile Details
NPI Number
1245222512
Provider Name
Manohar Mulki Punja
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
24900 Se Stark St, Gresham, OR, 97214-1308
Phone Number
503-665-4278
Fax Number
503-665-7766
Provider Enumeration Date
08/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1089895 05 WA
150698 05 OR
institution
Provider Business Practice Location Address Details
Address
24900 Se Stark St
City
State
Zip
97030-3355
Phone Number
503-665-4278
Fax Number
503-665-7766
person
Provider Business Mailing Address Details
Address
975 Se Sandy Blvd
City
State
Zip
97214-1308
Phone Number
503-963-2846
Fax Number
503-963-9505
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
MD08438 (Oregon)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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