Individual
HUSAIN POONAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
249250
MA
207RI0200X
Infectious Disease Physician
Primary
274786
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2011
Last updated
05/08/2023
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