Most Relevant Information
Provider Data
| NPI Number: | 1003386335 |
| Provider Name: | POONAM SHYAM MELWANI |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 6801099909 |
Most Important Dates
| Enumeration Date: | 11/29/2018 |
| Last Updated: | 07/03/2019 |
Provider Practice Location
13101 ALLEN RD
SOUTHGATE
MI
481952216
Practice Location Phone/Fax
| Phone: | 7347857705 |
| Fax: |
Provider Mailing Location
13101 ALLEN RD
SOUTHGATE
MI
481952216
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |