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KAVERY NIVANA THEETHIRA POONACHA MD
NPI 1205782695
Student in an Organized Health Care Education/Training Program in Washington, DC

Active since March 07, 2026
3900 RESERVOIR RD NW, WASHINGTON, DC 20007(202) 687-0100 Get Directions Write a Review

NPPES record last updated: March 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kavery Nivana Theethira Poonacha Md NPPES

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

KAVERY NIVANA THEETHIRA POONACHA MD (NPI 1205782695) is an individual student in an organized health care education/training program in Washington, District Of Columbia and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1205782695
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAVERY NIVANA THEETHIRA POONACHACredential: MD
Location Address3900 RESERVOIR RD NWWashington, DC 20007-2126
Mailing Address3900 Reservoir Rd NwWashington, DC 20007-2126
Phone(202) 687-0100
Sole ProprietorYes
Enumeration DateMarch 7, 2026
NPPES CertifiedMarch 7, 2026
✔ NPI 1205782695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3900 RESERVOIR RD NW, Washington, DC 20007
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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.

STEPHANIE BAOCHAU CHI NGUYEN
Student in an Organized Health Care Education/Training Program
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-0100
SARA HOLZGRAFE PT
Physical Therapist
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-8178
ISH A TALATI
Student in an Organized Health Care Education/Training Program
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-0100
JESSICA MOONLY JIANG
Student in an Organized Health Care Education/Training Program
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-0100
JESSICA RENEE ONG MD, PHD
Student in an Organized Health Care Education/Training Program
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (626) 664-3483
GREGORIO BAEK
Student in an Organized Health Care Education/Training Program
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-0100
MANAV MEHTA
Student in an Organized Health Care Education/Training Program
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-0100
ADAM RAY PURVIS
Internal Medicine
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-0100

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 Kavery Nivana Theethira Poonacha's NPI number?

The NPI number for Kavery Nivana Theethira Poonacha is 1205782695. It was assigned to this individual provider in the NPPES registry on March 7, 2026.

Where is Kavery Nivana Theethira Poonacha located?

Kavery Nivana Theethira Poonacha practices at 3900 Reservoir Rd NW, Washington, DC 20007. The listed phone number is (202) 687-0100.

What is Kavery Nivana Theethira Poonacha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kavery Nivana Theethira Poonacha was last updated on March 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.