{"npi":"1578522017","type":"NPI-1","status":"active","name":{"display":"Rahib Poonawala MD","other":[],"first":"RAHIB","last":"POONAWALA","middle":"MANSOOR","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"VA","license":"0101234539"}]},"addresses":[{"purpose":"LOCATION","street_1":"43300 SOUTHERN WALK PLAZA, SUITE 100","city":"BROADLANDS","state":"VA","postal_code":"201484463","country_code":"US","phone":"5712527353","fax":"5712231797"},{"purpose":"MAILING","street_1":"224 D CORNWALL STREET NW","city":"LEESBURG","state":"VA","postal_code":"201762704","country_code":"US","street_2":"STE 403","phone":"7037376010","fax":"7034438643"}],"license":{"state":"VA","number":"0101234539"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"30015384640001","state":"VA","issuer":null},{"type_code":"05","label":"Medicaid","value":"010275326","state":"VA","issuer":null},{"type_code":"05","label":"Medicaid","value":"010275318","state":"VA","issuer":null},{"type_code":"05","label":"Medicaid","value":"1578522017","state":"VA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20061020000164","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"VA","pac_id":"9234038811"}]},"enumeration_date":"2006-03-22","last_updated":"2024-03-19","_meta":{"source":"NPPES","snapshot_date":"2024-03-19","doc_url":"https://findmynpi.com/api"}}