MEDICARE: DR. POONAM K. THANDI M.D.

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	2084P0800X	Psychiatry Physician	U7769	TX

General Provider Information

NPI Number	:	1508186271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. POONAM K. THANDI M.D.

Provider Business Mailing Address
First Line	:	1618 ALAMO ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2904
Country	:	US
Telephone Number	:	713-799-3744
Fax Number	:

Provider Business Practice Location Address
First Line	:	1618 ALAMO ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2904
Country	:	US
Telephone Number	:	713-799-3744
Fax Number	:

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

Provider Enumeration Date	:	06/04/2010
Last Update Date	:	12/19/2025

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