Healthcare Provider Details

I. General information

NPI: 1508186271
Provider Name (Legal Business Name): POONAM K. THANDI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2010
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1618 ALAMO ST
HOUSTON TX
77007-2904
US

IV. Provider business mailing address

1618 ALAMO ST
HOUSTON TX
77007-2904
US

V. Phone/Fax

Practice location:
  • Phone: 713-799-3744
  • Fax:
Mailing address:
  • Phone: 713-799-3744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberU7769
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: