Individual
POONAM MAHATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-7355
(215) 349-8444
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-7355
(215) 349-8444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD477415
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD477415
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2016
Last updated
10/28/2022
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