Poornima Chadalawada, MD,PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

POORNIMA CHADALAWADA, MD,PA

Practice address

2727 Bolton Boone Dr
Suite 109
Desoto, TX 75115-2019

Phone

(972) 283-2370

NPI assigned

Feb 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Poornima Chadalawada, MDNPI 1679501258

Title

President

Phone

(972) 283-2370

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Poornima Chadalawada, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1679501258
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1194097139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE DR",
            "address_2": "SUITE 109",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE DR",
            "address_2": "SUITE 109",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152019",
            "telephone_number": "972-283-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POORNIMA CHADALAWADA, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "CHADALAWADA",
        "authorized_official_first_name": "POORNIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-283-2370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivory Pleasant
• Jamela Pleasant, PA-C
• Pointa2Pointb Non Medical Emergency Transportation
• Ladee Frakay Polk, O.T.R.
• Timothy Ponder, MD
• Oluyemisi A Popoola
• Jean Taylor. Porter, LCSW
• Positive Breathing Organization
• Caitlyn Jane Poupart, D.D.S.
• Keith A Powell

• Internal Medicine Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.