SearchWashington207Q00000X

Mantavya Punj, MD

NPI 1831759596 · on the registry since 2019

Practice

Address
9605 Sandifur Pkwy
Pasco, WA 99301
Phone
(509) 942-3170
Fax
(509) 543-9795
Organisation at this address
Tri-Cities Laboratory Llc
Laboratory Corporation Of America
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Additional practice sites

  • 4500 San Pablo Rd S, Jacksonville, FL

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207QS1201X
207YS0012X
207RS0012X
207Q00000X
Licence states on file
WA, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-15

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 Washington