Individual
PRADEEP POONNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
5042 GABLE RIDGE DR, DURHAM, NC 27713-7155
(919) 360-6677
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
2020-00674
NC
Other
Enumeration date
05/12/2014
Last updated
02/03/2021
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