Basic Information
| Provider Information | |||||||||
| NPI: | 1659661551 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SUNDER | ||||||||
| FirstName: | PUNITA | ||||||||
| MiddleName: | KASHYAP | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D., M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 841969 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752841969 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 21715 KINGSLAND BLVD | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | KATY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774502543 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2813987353 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/12/2011 | ||||||||
| LastUpdateDate: | 09/17/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | P6730 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.