Individual
DR. SHASHANK PONUGOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26505
(304) 293-1964
Mailing address
PO BOX 88, WHITE SULPHUR SPRINGS, WV 24986-0088
(304) 536-5030
(304) 536-5031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23711
WV
208M00000X
Hospitalist Physician
53981
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000276995
OH UNISON
WV
01
—
0817345
CIGNA
WV
01
—
1072968
CARELINK/COVENTRY
WV
05
—
2969328
—
OH
05
—
3810015455
—
WV
01
—
613154600
BLACK LUNG/FECA
WV
05
—
7100084200
—
KY
Enumeration date
09/10/2008
Last updated
10/31/2025
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