Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MANOHAR MULKI PUNJA MD
NPI 1245222512
Internal Medicine - Cardiovascular Disease in Gresham, OR

Active since August 22, 2005
24900 SE STARK ST, SUITE 103, GRESHAM, OR 97030(503) 665-4278(503) 665-7766 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manohar Mulki Punja Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANOHAR MULKI PUNJA MD (NPI 1245222512) is an individual cardiovascular disease provider in Gresham, Oregon, licensed in Oregon (MD08438) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1245222512
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMANOHAR MULKI PUNJACredential: MD
Location Address24900 SE STARK ST, SUITE 103Gresham, OR 97030-3355
Mailing Address975 Se Sandy Blvd, Suite 200Portland, OR 97214-1308 · (503) 963-2846 · Fax (503) 963-9505
Fax(503) 665-7766
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1245222512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in OR · MD08438
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
24900 SE STARK ST, Gresham, OR 97030

Other Identifiers 2

Medicaid1089895WA
Medicaid150698OR

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
24900 SE STARK ST, SUITE 106
GRESHAM, OR 97030
Internal Medicine (Critical Care Medicine)
24900 SE STARK ST, SUITE #110
GRESHAM, OR 97030
Internal Medicine
24900 SE STARK ST, STE 109, GRESHAM INTERNAL MEDICINE CLINIC
GRESHAM, OR 97030
Nurse Practitioner (Family)
24900 SE STARK ST
GRESHAM, OR 97030
Urology
24900 SE STARK ST, 208
GRESHAM, OR 97030
Family Medicine
24900 SE STARK ST, SUITE 205
GRESHAM, OR 97030
Occupational Therapist
24900 SE STARK ST, SUITE 106
GRESHAM, OR 97030
Internal Medicine
24900 SE STARK ST, STE 202
GRESHAM, OR 97030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manohar Punja's NPI number?

The NPI number for Manohar Punja is 1245222512. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Manohar Punja located?

Manohar Punja practices at 24900 SE Stark St Suite 103, Gresham, OR 97030. The listed phone number is (503) 665-4278.

What is Manohar Punja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Manohar Punja was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.