DR. PUNEETH SHRIDHAR MD PHD
NPI 1346937836
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since April 24, 2023PECOS Enrolled
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4074 Get Directions Write a Review

NPPES record last updated: June 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Puneeth Shridhar Md Phd NPPES

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

DR. PUNEETH SHRIDHAR MD PHD (NPI 1346937836) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346937836
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PUNEETH SHRIDHARCredential: MD PHD
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address22999 Highway 59 N Ste 105Kingwood, TX 77339-4438 · (281) 348-8934
Sole ProprietorNo
Enumeration DateApril 24, 2023
Last NPPES UpdateJune 28, 2025
NPPES CertifiedJune 28, 2025
NPI 1346937836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11234 ANDERSON ST, Loma Linda, CA 92354

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Puneeth Shridhar Md Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

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 Puneeth Shridhar's NPI number?

The NPI number for Puneeth Shridhar is 1346937836. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Puneeth Shridhar located?

Puneeth Shridhar practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4074.

What is Puneeth Shridhar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Puneeth Shridhar enrolled in Medicare?

Yes. Puneeth Shridhar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Puneeth Shridhar was last updated on June 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.