Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | A134346 | CA |
N | 2080P0216X | Pediatric Rheumatologist | A134346 | CA |
NPI | 1457798233 |
---|---|
Provider Name | Dr. Rajdeep Pooni |
First Address | Palo Alto, CA 94304-1601 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2013 |
Last Update Date | 14/07/2020 |