Individual
MR. ASIF POONJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1926 KEOKUK ST, IOWA CITY, IA 52240-4410
(847) 220-7242
(847) 232-3201
Mailing address
1658 N MILWAUKEE AVE UNIT 107, CHICAGO, IL 60647-6905
(847) 220-7242
(847) 220-7242
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
16D2247888
IA
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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