Individual
POONAM RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 496-2231
Mailing address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 496-2231
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10080611
TX
Other
Enumeration date
06/27/2022
Last updated
06/17/2025
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