Mantavya Punj, MD
Family Medicine in Pasco, WA. Individual provider (NPI-1).
NPI number1831759596
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1831759596
- Entity type
- Individual (NPI-1)
- Name
- Mantavya Punj
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2019
- Certification date
- Jul 15, 2026
- Last updated
- Jul 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD61357479 | WA | Yes |
| 207QS1201X | Family Medicine, Sleep Medicine | MD61357479 | WA | |
| 207YS0012X | Otolaryngology, Sleep Medicine | MD61357479 | WA | |
| 207RS0012X | Internal Medicine, Sleep Medicine | ME154593 | FL | |
| 207Q00000X | Family Medicine | TRN29309 | FL |
Practice location
9605 Sandifur PkwyPasco, WA 99301-8028
Phone 509-942-3170 · Fax 509-543-9795
Mailing address
550 Gage Blvd Ste 101Richland, WA 99352-9532
Phone 509-946-4611 · Fax 509-627-2983
Other practice locations
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Jacksonville, FL 32224-1865
Phone 904-953-2000
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