Individual
PRIMA POUDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR APT 45, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
4502 MEDICAL DR APT 45, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
W9884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370303505
—
TX
Enumeration date
09/09/2010
Last updated
10/11/2019
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