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NPI Code Detail

MEDICARE: POONAM RAMANI MD

MEDICARE: POONAM RAMANI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician052319GA

General Provider Information

NPI Number : 1033111349
Entity Type Code : Individual
Provider Name (Legal Business Name) : POONAM RAMANI MD
Provider Business Mailing Address
First Line : 134 BAYBERRY HLS
Second Line :
City : MCDONOUGH
State : GA
Zip : 30253-4005
Country : US
Telephone Number : 678-571-3113
Fax Number : 770-507-8383
Provider Business Practice Location Address
First Line : 105 CARNEGIE PL STE 103
Second Line :
City : FAYETTEVILLE
State : GA
Zip : 30214-5900
Country : US
Telephone Number : 770-716-7999
Fax Number : 770-716-8444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 05/10/2024

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Directions to “ POONAM RAMANI MD” Practice Location

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