Individual
DR. POONAM PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
979 EAST THIRD STREET, SUITE C-520, CHATTANOOGA, TN 37403
(423) 778-5661
(423) 778-5664
Mailing address
975 EAST THIRD STREET, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403-2147
(423) 778-3110
(423) 778-3146
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
47501
TN
207RC0000X
Cardiovascular Disease Physician
A92644
CA
207RI0011X
Interventional Cardiology Physician
Primary
47501
TN
Other
Enumeration date
06/26/2007
Last updated
05/11/2015
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