Search › New Jersey › 207RG0100X
Punitha Shivaprasad, D.O
NPI 1609111699 · on the registry since 2012
Practice
- Address
- 1945 Marlton Pike E Ste D
Cherry Hill, NJ 08003 - Phone
- (856) 237-8045
- Fax
- (856) 237-8047
- Clinicians at this address
- 8
Additional practice sites
- 2601 W Main St, Carbondale, IL
- 404 Lincoln Dr, Herrin, IL
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207RG0100X
- Licence states on file
- IL, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey