Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pavan Kumar Punukollu, MD

Individual provider Diagnostic Radiology Physician · NPI 1366402273

Pavan Kumar Punukollu, MD is a Diagnostic Radiology in Lawrence, Massachusetts. Graduated from Tufts University School of Medicine in 1992, 34 years ago. Practices with Radiology Associates of North Texas PA, a 341-clinician group and works from 4 locations. Licensed in Florida, Massachusetts and Ohio.

Years since qualifying
34
Trained at
Tufts University School of Medicine
Licensed in
FL, MA, OH
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 General St
Lawrence, MA 01841-2961
Phone: (978) 683-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 269048 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME130248 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35.074221 (OH)

Record details

NPI number1366402273
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2006
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address2527 Cranberry Hwy, Wareham, MA 02571-1046

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Radiology Associates Of North Texas Pa — 341 clinicians
Accepts Medicare assignment Not indicated
Practice locations10 on file with Medicare

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