Provider Demographics
NPI:1417235672
Name:POONIA, ARASHDEEP SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:ARASHDEEP
Middle Name:SINGH
Last Name:POONIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ARSHI
Other - Middle Name:SINGH
Other - Last Name:POONIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1505 SHEPARD DR STE 103
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-7016
Mailing Address - Country:US
Mailing Address - Phone:805-287-9711
Mailing Address - Fax:805-702-3066
Practice Address - Street 1:1505 SHEPARD DR STE 103
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-7016
Practice Address - Country:US
Practice Address - Phone:805-287-9711
Practice Address - Fax:805-702-3066
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA129530207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty