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General NPI Number Information
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NPI Number | 1114052743
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Entity Type | Organization
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Legal Business Name | MOHINDER SINGH POONIA MD PC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 04/08/2011
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Provider Practice Location Address
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Address Line | 7035 N CHESTNUT AVE SUITE 102
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City | FRESNO
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State | CA
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Zip | 93720-0352
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Country | US
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Telephone | 559-325-2000
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Fax | 559-325-2021
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Provider Business Mailing Address
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Address Line | 7035 N CHESTNUT AVE SUITE 102
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City | FRESNO
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State | CA
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Zip | 93720-0352
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Country | US
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Telephone | 559-325-2000
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Fax | 559-325-2021
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Authorized Official
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Title or Position | SHARE HOLDER
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Name | MOHINDER SINGH POONIA
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Credential | MD.
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Telephone | 559-325-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A36683
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License Number State | CA
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