Individual
POONEH SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 290-5551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42165
AZ
208M00000X
Hospitalist Physician
Primary
42165
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
448302
—
AZ
Enumeration date
04/07/2008
Last updated
05/06/2022
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