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1144209040

NPI Code Detail

MEDICARE: MRS. POOJA D TOLANEY MD

MEDICARE: MRS. POOJA D TOLANEY 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
1	207RI0200X	Infectious Disease Physician	Q3605	TX
2	207R00000X	Internal Medicine Physician	Q3605	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	043001	OTHER	CT	PHYSICIAN SURGEON LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	37407	OTHER	CT	CONTROLLED SUBSTANCE

General Provider Information

NPI Number	:	1144209040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. POOJA D TOLANEY MD

Provider Business Mailing Address
First Line	:	PO BOX 732973 SUITE 215
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-2973
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 S MAIN ST STE 1600
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-7663
Country	:	US
Telephone Number	:	817-702-3401
Fax Number	:	817-702-6924

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	07/18/2019

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Directions to “ MRS. POOJA D TOLANEY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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