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Individual
DR. POONGUZHALI PICHAIMUTHU
Active
Individual
DR. POONGUZHALI PICHAIMUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD431326
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102067342
—
PA
01
—
116921
MEDICARE
PA
Enumeration date
09/24/2007
Last updated
02/04/2022
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