Active NPIIndividual provider

Pavan K Punukollu, MD

Radiology, Diagnostic Radiology in Lawrence, Massachusetts

NPI Number1366402273
Practice location
1 General St, Lawrence, MA 01841-2961
Fax
—
Last updated
October 16, 2025

Pavan Kumar Punukollu is a Radiology, Diagnostic Radiology based in Lawrence, MA. 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. ME130248 (FL). The current practice location address for Pavan Kumar Punukollu is 1 General St, Lawrence, MA 01841-2961 and can be reached out via phone at 978-683-4000.

Provider Profile Details

NPI Number
1366402273
Provider Name
Pavan Kumar Punukollu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 General St, Lawrence, MA 01841-2961
Phone Number
978-683-4000
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
March 24, 2006
Last Update Date
October 16, 2025
Certification Date
October 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 General St
Lawrence, MA 01841-2961
Zip
01841-2961
Phone Number
978-683-4000
Lawrence, MA 01841Get directions →

Provider Business Mailing Address Details

Address
2527 Cranberry Hwy
Wareham, MA 02571-1046
City
Wareham
State
MA
Zip
02571-1046
Phone Number
800-841-5200
Fax Number
508-273-1241

License Information

License Number (1)
ME130248
License State (1)
FL
Taxonomy (1)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (2)
35.074221
License State (2)
OH
Taxonomy (2)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (3)
269048
License State (3)
MA
Taxonomy (3)
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pavan K Punukollu, MD?

The NPI number of Pavan K Punukollu, MD is 1366402273. It was assigned on March 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Pavan K Punukollu, MD?

Pavan K Punukollu, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in FL under license number ME130248.

Where does Pavan K Punukollu, MD practice?

The practice location is 1 General St, Lawrence, MA 01841-2961. The office can be reached at 978-683-4000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366402273 directly on the NPPES registry website.

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