Pavan Kumar Punukollu is a Diagnostic Radiology Physician based in Wareham, MA and is specialized in Diagnostic Radiology. Pavan Kumar Punukollu practices in Lawrence, MA and has the professional credentials of MD. The NPI Number for Pavan Kumar Punukollu is 1366402273 and holds a License No. 35.074221 (Massachusetts).
The current practice location address for Pavan Kumar Punukollu is 1 General St, Lawrence, MA and can be reached out via phone at 978-683-4000.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300132093 | 01 | OH | RAILROAD MEDICARE |
| JA839Z | 01 | MEDICARE PTAN | |
| 000000241778 | 01 | OH | ANTHEM BCBS |
| 110131865A | 05 | MA | |
| 11286315 | 01 | CAQH |
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