Poornima Samandur
NPI 1578097291ActiveIndividual· Dietitian, Registered· West Bloomfield, MI
Dietitian, Registered in West Bloomfield, Michigan, licensed in MI, with an NPI issued in April 2017.
Overview
| NPI | 1578097291 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 19, 2017 |
| Last updated in NPPES | Sep 18, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 847864 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dietitian, Registered providers in West Bloomfield
- 1811228380
- 1952269607
- 1215721360
- 1457702821
- 1396307286
- 1790345858
- 1457787145
- 1710872361
- 1366627358
- 1811862964
- 1225320104
- 1801781455