Paruchuri, Poonam

Paruchuri, Poonam is an individual health care provider with primary practice located at 1633 N Capitol Ave Ste 322, Indianapolis IN 46202-1476. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Paruchuri, Poonam can be contacted via phone (317) 962-2929.

Contact Information

Primary practice address
1633 N Capitol Ave Ste 322 Indianapolis IN 46202-1476
Phone: (317) 962-2929
Fax: (317) 962-2070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01075832A Indiana
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 0361.34392 Illinois
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 01075832A Indiana

Profile Details

NPI number 1265729297
LBN Legal business name Paruchuri, Poonam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2011
Last updated Dec 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265729297 NPPES
Indiana MEDICAID 201313360

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