Individual
RAHIB MANSOOR POONAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43300 SOUTHERN WALK PLAZA, SUITE 100, BROADLANDS, VA 20148-4463
(571) 252-7353
(571) 223-1797
Mailing address
224 D CORNWALL STREET NW, STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101234539
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010275318
—
VA
05
—
010275326
—
VA
05
—
1578522017
—
VA
05
—
30015384640001
—
VA
Enumeration date
03/22/2006
Last updated
03/19/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us