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1467434563 NPI number — ASHIQUEALI I POONAWALA M.D.

NPI Number: 1467434563
Health Care Provider/Practitioner: ASHIQUEALI I POONAWALA M.D.

Information about “1467434563” NPI (ASHIQUEALI I POONAWALA M.D.) exists in 1467434563 in HTML format HTML  |  1467434563 in plain Text format TXT  |  1467434563 in PDF (Portable Document Format) PDF  |  1467434563 in an XML format XML  formats.

NPI Number : 1467434563 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467434563",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "POONAWALA",
    "FirstName": "ASHIQUEALI",
    "MiddleName": "I",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "POONAWALA",
    "OtherFirstName": "ASHIQUEALI",
    "OtherMiddleName": "I",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 73105",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77273-3105",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-890-6800",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13311 HARGRAVE RD STE 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77070-4310",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-890-6800",
    "PracticeLocationAddressFaxNumber": "281-890-6865",
    "EnumerationDate": "11/16/2005",
    "LastUpdateDate": "01/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "K3399",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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