Basic Information
| Provider Information | |||||||||
| NPI: | 1881803492 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOMAI | ||||||||
| FirstName: | POONAM | ||||||||
| MiddleName: | RAMESH | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 104 WOODMONT BLVD | ||||||||
| Address2: | SUITE LL50 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372052382 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153862300 | ||||||||
| FaxNumber: | 6153862399 | ||||||||
| Practice Location | |||||||||
| Address1: | 4230 HARDING ROAD | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372052013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152972700 | ||||||||
| FaxNumber: | 6153862399 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2007 | ||||||||
| LastUpdateDate: | 05/12/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | 44502 | TN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
ID Information
| ID | Type | State | Issuer | Description | 9577096 | 01 | TN | AETNA | OTHER | P00743896 | 01 | TN | MEDICARE RAILROAD | OTHER | 1513306 | 05 | TN | MEDICAID | TN0127 | 01 | TN | AMERICHOICE-TNCARE ONLY | OTHER | 01287061 | 01 | TN | AMERIGROUP-TNCARE AND AMERIVANTAGE MCR | OTHER | 1100865216 | 01 | TN | USA PPO/GEHA | OTHER | 1125377 | 01 | TN | USA MANAGED CARE | OTHER | 12733978 | 01 | TN | MULTIPLAN/PHCS | OTHER | 7100035590 | 05 | KY | MEDICAID | 4232698 | 01 | TN | BLUE CROSS OF TN - TNCARE, COMMERCIAL AND BLUEADVANTAGE MCR | OTHER |