# DR. PRAMOD KUMAR PONNA

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- **Entity:** Individual
- **Status:** Inactive
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1659807774
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 0101276921 | VA | — |
| 207R00000X | Internal Medicine Physician | 324263 | LA | Yes |

## Other

- **Enumeration date:** 05/10/2017
- **Last updated:** 08/18/2023