Organization
TP DERMATOLOGY, PC
Active
Other names
Expert Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASNEEM POONAWALLA MD (PRESIDENT)
(832) 541-2247
Entity
Organization
Contact information
Practice address
23101 SHERMAN PL, WEST HILLS, CA 91307-2003
(818) 336-1853
Mailing address
23101 SHERMAN PL, WEST HILLS, CA 91307-2003
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912105461
INDIVIDUAL NPI
—
Enumeration date
07/13/2018
Last updated
07/13/2018
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