DR. POONAM GHANSHYAM MERAI (NPI# 1528355245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528355245 |
| Entity Type | Individual |
| Full Name | DR. POONAM GHANSHYAM MERAI |
| Credential | M.D. |
| Practice Address |
1725 W Harrison St Suite 955 Chicago IL 60612-3841 |
| Practice Telephone | 3129427030 |
| Practice Fax Number | 3125634212 |
| Mailing Telephone | 3129427030 |
| Mailing Fax Number | 3125634212 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
036136135 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1725 W HARRISON ST SUITE 955 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446163 | Alvaro A Figueroa | Dentist | 1725 W Harrison St, Ste 425, Chicago, IL 60612-3836 | 2005-06-09 |
| 1487251096 | Katherine Frigo | Registered Nurse | 1725 W Harrison St, Chicago, IL 60612-3841 | 2020-10-06 |
| 1568085413 | Jaime Rizzie | Dietitian, Registered | 1725 W Harrison St, Chicago, IL 60612-3841 | 2020-05-27 |
| 1710507025 | Peter Wu | Pharmacist | 1725 W Harrison St, Chicago, IL 60612-3841 | 2020-04-16 |
| 1316419047 | Lauren G Markham | Social Worker | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-12-19 |
| 1366917759 | Anan Hani Shtewe | Neurological Surgery | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-10-11 |
| 1679057087 | Colleen Tapia | Nurse Practitioner | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-09-20 |
| 1316435035 | Charalampos Siotos | Plastic Surgery | 1725 W Harrison St, Suite 425, Chicago, IL 60612 | 2018-04-27 |
| 1427555937 | Brooke Harrar | Physical Therapist | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-04-11 |
| 1356859250 | Esther Kim | Specialist | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-01-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
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| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058378 | Ranim Mira | Internal Medicine | 4021 W Belle Plaine Ave # Ge, Chicago, IL 60641-2412 | 2018-03-24 |
| 1518351758 | Vania Leung | Internal Medicine | 2600 S Michigan Ave Ste 205, Chicago, IL 60616-2857 | 2015-03-25 |
| 1699174540 | Hatem Hassaballa | Internal Medicine | 840 S Wood St Fl 4, Suite 409 (m/c 717), Chicago, IL 60612-4325 | 2014-08-16 |
| 1609037498 | Katya Yanira Cruz Madrid | Internal Medicine | 840 S. Wood St, Mic 717 Suite 409, Chicago, IL 60612 | 2008-06-24 |
| 1114113271 | Ewa Nowak | Internal Medicine | 3319 N Elston Ave # 200, Chicago, IL 60618-5811 | 2007-09-21 |
| 1275735706 | Geraldine Luna | Internal Medicine | 2231 E 95th St, Chicago, IL 60617-4804 | 2007-06-05 |
| 1487864542 | Kyra Payne | Internal Medicine | 213 N Racine, #100, Chicago, IL 60607 | 2007-05-23 |
| 1669699716 | Alejandro Aparicio | Internal Medicine | 6512 W Belle Plaine Ave, Chicago, IL 60634-1434 | 2007-04-19 |
| 1154459840 | Patricia Anne Rush | Internal Medicine | 7101 S Exchange Ave, Chicago, IL 60649-2503 | 2007-03-02 |
| 1447313705 | Shellie N Williams | Internal Medicine | The University of Chicago, 5841 S. Maryland Ave. Mc 6098, Chicago, IL 60637 | 2006-12-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.