Individual
DR. HUSEIN IMTIAZ POONAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3051 CHURCHILL DR STE 116, FLOWER MOUND, TX 75022-5900
(469) 846-8346
(469) 409-0001
Mailing address
3051 CHURCHILL DR STE 116, FLOWER MOUND, TX 75022-5900
(469) 846-8346
(469) 409-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301098227
MI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
S2148
TX
Other
Enumeration date
04/16/2011
Last updated
02/09/2022
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