Individual
ASHIQUEALI I POONAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13311 HARGRAVE RD STE 103, HOUSTON, TX 77070-4310
(281) 890-6800
(281) 890-6865
Mailing address
PO BOX 73105, HOUSTON, TX 77273-3105
(281) 890-6800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K3399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043996001
—
TX
Enumeration date
11/16/2005
Last updated
01/22/2020
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