Individual
ADHARSH PONNAPAKKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO MILITARY MEDICAL CENTER PEDIATRIC RESIDENCY, SAN ANTONIO, TX 78234-4504
(210) 916-3160
(210) 916-6349
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO MILITARY MEDICAL CENTER PEDIATRIC RESIDENCY, SAN ANTONIO, TX 78234-4504
(210) 916-3160
(210) 916-6349
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31323
NE
Other
Enumeration date
03/23/2017
Last updated
08/23/2023
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