1881803492 NPI number — POONAM RAMESH SOMAI M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881803492 NPI number — POONAM RAMESH SOMAI M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

SOMAI

Provider First Name:

POONAM

Provider Middle Name:

RAMESH

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1881803492

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

05/27/2025

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

2255 GLADES RD STE 228W

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

BOCA RATON

Provider Business Mailing Address State Name:

FL

Provider Business Mailing Address Postal Code:

33431-7391

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

561-320-0996

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

4230 HARDING PIKE STE 400

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

NASHVILLE

Provider Business Practice Location Address State Name:

TN

Provider Business Practice Location Address Postal Code:

37205-4900

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

615-297-2700

Provider Business Practice Location Address Fax Number:

615-386-2399

Provider Enumeration Date:

05/21/2007

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207RR0500X , with the licence number:  44502 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 1125377 . This is a "USA MANAGED CARE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
• Identifier: 4232698 . This is a "BLUE CROSS OF TN - TNCARE, COMMERCIAL AND BLUEADVANTAGE MCR" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
• Identifier: TN0127 . This is a "AMERICHOICE-TNCARE ONLY" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
• Identifier: 12733978 . This is a "MULTIPLAN/PHCS" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
• Identifier: 9577096 . This is a "AETNA" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
• Identifier: 1513306 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
• Identifier: P00743896 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
• Identifier: 01287061 . This is a "AMERIGROUP-TNCARE AND AMERIVANTAGE MCR" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
• Identifier: 1100865216 . This is a "USA PPO/GEHA" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
• Identifier: 7100035590 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".