Individual
DR. POOJA TANGRI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
809 W DRYDEN RD, METAMORA, MI 48455-8961
(810) 678-4000
(810) 678-4077
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301062508
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18T55048
HEALTH PLUS
MI
01
—
1982107005
CIGNA
MI
05
—
3304289
—
MI
01
—
350440031-2
BLUE CROSS BLUE SHIELD
MI
01
—
5663131
AETNA
MI
01
—
C5896
MCARE
MI
01
—
G24826
HAP
MI
Enumeration date
11/14/2005
Last updated
07/08/2007
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