Individual
POONAM PARUCHURI
Active
Individual
POONAM PARUCHURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01075832A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
01075832A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
0361.34392
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201313360
—
IN
Enumeration date
06/28/2011
Last updated
07/26/2025
Update your record
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