Individual
MELANIA SUNITA POONACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
130281
CA
208000000X
Pediatrics Physician
130281
CA
208M00000X
Hospitalist Physician
Primary
A130281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME114641
FL MEDICAL LICENSE
FL
Enumeration date
05/19/2010
Last updated
04/28/2024
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