Provider Demographics
NPI:1881803492
Name:SOMAI, POONAM RAMESH (MD)
Entity type:Individual
Prefix:
First Name:POONAM
Middle Name:RAMESH
Last Name:SOMAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 GLADES RD STE 228W
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7391
Mailing Address - Country:US
Mailing Address - Phone:561-320-0996
Mailing Address - Fax:
Practice Address - Street 1:4230 HARDING PIKE STE 400
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-4900
Practice Address - Country:US
Practice Address - Phone:615-297-2700
Practice Address - Fax:615-386-2399
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN44502207RR0500X
TNMD44502207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1125377OtherUSA MANAGED CARE
TN4232698OtherBLUE CROSS OF TN - TNCARE, COMMERCIAL AND BLUEADVANTAGE MCR
TNTN0127OtherAMERICHOICE-TNCARE ONLY
TN12733978OtherMULTIPLAN/PHCS
TN9577096OtherAETNA
TN1513306Medicaid
TNP00743896OtherMEDICARE RAILROAD
TN01287061OtherAMERIGROUP-TNCARE AND AMERIVANTAGE MCR
TN1100865216OtherUSA PPO/GEHA
KY7100035590Medicaid
TN3041471Medicare PIN
TN4232698OtherBLUE CROSS OF TN - TNCARE, COMMERCIAL AND BLUEADVANTAGE MCR
KY7100035590Medicaid