Provider Demographics
NPI:1861856148
Name:POONIA, SEERAT KAUR (MD)
Entity Type:Individual
Prefix:
First Name:SEERAT
Middle Name:KAUR
Last Name:POONIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3590 CAMINO DEL RIO N STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1707
Mailing Address - Country:US
Mailing Address - Phone:619-810-1111
Mailing Address - Fax:619-229-4938
Practice Address - Street 1:3590 CAMINO DEL RIO N STE 100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1707
Practice Address - Country:US
Practice Address - Phone:619-810-1111
Practice Address - Fax:619-229-4938
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA172406207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology