| Poonam Mahajan, | |
|
Route 301 North B Street, Zuni, NM 87327-7405 | |
| (505) 782-4431 | |
| Not Available |
| Full Name | Poonam Mahajan |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | Route 301 North B Street, Zuni, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225563406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164005891 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Poonam Mahajan, Po Box 1765, Zuni, NM 87327-1765 Ph: (505) 782-7358 | Poonam Mahajan, Route 301 North B Street, Zuni, NM 87327-7405 Ph: (505) 782-4431 |
Conrad Sanders, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 21 B Ave, Zuni, NM 87327 Phone: 505-782-4431 | |
Sharol Hopwood, DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: Route 301 North 'b' Street, Zuni, NM 87327 Phone: 505-782-4431 Fax: 505-782-7551 |