Ponugoti, Prasanna
Ponugoti, Prasanna is an individual health care provider with primary practice located at 100 Hospital Ln Ste 100 , Danville IN 46122-1993. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Ponugoti, Prasanna can be contacted via phone (317) 745-7310.Contact Information
Primary practice address
100 Hospital Ln Ste 100
Danville IN 46122-1993
Phone: (317) 745-7310
Fax: (317) 745-7320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2012020305 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01076182A | Indiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2012020305 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01076182A | Indiana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01076182A | Indiana |
Profile Details
| NPI number | 1790912830 |
|---|---|
| LBN Legal business name | Ponugoti, Prasanna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2009 |
| Last updated | May 27th, 2021 - about 4 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 | 1790912830 | NPPES |
| Missouri | MEDICAID | 1790912830 |
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