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UNKNOWN POONAM MD
NPI 1205716651
Family Medicine in Bismarck, ND

Active since September 05, 2025
701 E ROSSER AVE, BISMARCK, ND 58501(701) 751-9500(701) 751-9508 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Unknown Poonam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNKNOWN POONAM MD (NPI 1205716651) is an individual family medicine provider in Bismarck, North Dakota, licensed in North Dakota (RL22653) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1205716651
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameUNKNOWN POONAMCredential: MD
Location Address701 E ROSSER AVEBismarck, ND 58501-4457
Mailing Address701 E Rosser AveBismarck, ND 58501-4457 · (701) 751-9500 · Fax (701) 751-9508
Phone(701) 751-9500
Fax(701) 751-9508
Sole ProprietorNo
Enumeration DateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
✔ NPI 1205716651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ND · RL22653
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
701 E ROSSER AVE, Bismarck, ND 58501
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAILY DATZ
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500
MONIKA POTHAMSETTI MD
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500
GABRIELLE TACHENKO AU.D.
Audiologist
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 323-8550
WILLIAM G FLECK MD
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500
DR. WAAD ANTWAN MATTI HADDAD MD
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9506
DR. KARL VIDDAL M.D.
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500
WAYLON DECOTEAU MD
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500
BAILEE LASS DUNGAN AUD
Audiologist
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 323-8921

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Unknown Poonam's NPI number?

The NPI number for Unknown Poonam is 1205716651. It was assigned to this individual provider in the NPPES registry on September 5, 2025.

Where is Unknown Poonam located?

Unknown Poonam practices at 701 E Rosser Ave, Bismarck, ND 58501. The listed phone number is (701) 751-9500.

What is Unknown Poonam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Unknown Poonam was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.