Individual
DR. TASNEEM A POONAWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23101 SHERMAN PL STE 520, WEST HILLS, CA 91307
(818) 336-1853
(818) 336-1852
Mailing address
23101 SHERMAN PL STE 520, WEST HILLS, CA 91307-2029
(818) 336-1853
(818) 336-1852
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
133426
CA
207N00000X
Dermatology Physician
50892-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61010
DEAN HEALTH INSURANCE
WI
Enumeration date
07/06/2007
Last updated
08/29/2018
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