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Individual

HARAGOPAL K PENUGONDA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
SUITE 240 MEDICAL ARTS BLDG, 35 W LINDEN STREET, WILKES-BARRE, PA 18702
(570) 826-1111
(570) 829-0300
Mailing address
SUITE 240 MEDICAL ARTS BLDG, 35 W LINDEN STREET, WILKES-BARRE, PA 18702
(570) 826-1111
(570) 829-0300

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD033967-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0668609
PA
Enumeration date
08/04/2005
Last updated
05/03/2026
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