Individual
HARIKRISHNA CHOUDARY PONNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2475 E 22ND ST STE 120, CLEVELAND, OH 44115-3221
(216) 431-1500
Mailing address
PO BOX 932127, CLEVELAND, OH 44193-0008
(216) 431-1500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.128164
OH
Other
Enumeration date
08/12/2014
Last updated
02/24/2022
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