Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAHIB MANSOOR POONAWALA, MD
ActiveRAHIB MANSOOR POONAWALA, MD is a Family Medicine healthcare provider located in BROADLANDS, Virginia. NPI 1578522017 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BROADLANDS, VA
Registration Details
- NPI Number
- 1578522017
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2006 (20.382986443467 yrs)
- Last Updated
- Mar 19, 2024
- License
-
0101234539 (VA)
Practice Information
- Address
-
43300 SOUTHERN WALK PLAZA, SUITE 100BROADLANDS, VA, 201484463Browse VA providers · Browse ZIP 20148
- Phone
- 5712527353
- Fax
- 5712231797
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.