Poonawalla, Tasneem A

Poonawalla, Tasneem A is an individual health care provider with primary practice located at 23101 Sherman Pl Ste 520 , West Hills CA 91307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Poonawalla, Tasneem A can be contacted via phone (818) 336-1853.

Contact Information

Primary practice address
23101 Sherman Pl Ste 520 West Hills CA 91307
Fax: (818) 336-1852
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 50892-20 Wisconsin
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 133426 California

Profile Details

NPI number 1912105461
LBN Legal business name Poonawalla, Tasneem A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2007
Last updated Aug 29th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912105461 NPPES
Wisconsin Other 61010 DEAN HEALTH INSURANCE

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