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NPI Code Detail

MEDICARE: POOJA INDIR MD

MEDICARE:   POOJA  INDIR  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
1207Q00000XFamily Medicine Physician101518GA

General Provider Information

NPI Number : 1134707094
Entity Type Code : Individual
Provider Name (Legal Business Name) : POOJA INDIR MD
Provider Business Mailing Address
First Line : 7111 BRIDGEMILL DR
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-1384
Country : US
Telephone Number : 609-907-7094
Fax Number :
Provider Business Practice Location Address
First Line : 2737 WARM SPRINGS RD STE C
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-5328
Country : US
Telephone Number : 706-571-1136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2021
Last Update Date : 02/03/2026

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Directions to “ POOJA INDIR MD” Practice Location

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