Ponugoti, Padma P
Ponugoti, Padma P is an individual health care provider with primary practice located at 76 W Springhill Dr , Terre Haute IN 47802-8767. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Ponugoti, Padma P can be contacted via phone (812) 299-2020.Contact Information
Primary practice address
76 W Springhill Dr
Terre Haute IN 47802-8767
Phone: (812) 299-2020
Fax: (819) 299-0519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01049944 | Indiana |
Profile Details
| NPI number | 1952419004 |
|---|---|
| LBN Legal business name | Ponugoti, Padma P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Dec 2nd, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952419004 | NPPES |
| Indiana | MEDICAID | 200423530 |
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