Individual provider · Type 1 NPI

Pavan Kumar Punukollu, MD

Diagnostic Radiology Physician · Lawrence, MA

NPI number 1366402273 Active

Practice location

1 General St
Lawrence, MA 01841-2961

Mailing address

2527 Cranberry Hwy
Wareham, MA 02571-1046

Other practice locations

  • 13813 Metro Pkwy, Fort Myers, FL 33912-4343 · (855) 674-4624
  • 7211 Wellington Dr Ste 101, Knoxville, TN 37919-5968 · (865) 588-8005
  • 585 Lebanon St, Melrose, MA 02176-3225 · (781) 979-3120

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XME130248 (FL)
Diagnostic Radiology Physician 2085R0202X35.074221 (OH)
Diagnostic Radiology Physician Primary 2085R0202X269048 (MA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

145 other providers at this address

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About NPI 1366402273

Pavan Kumar Punukollu, MD's National Provider Identifier is 1366402273, issued on Mar 24, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Lawrence, MA. The record was last updated on Oct 16, 2025.