Individual
DR. NAGARJUNA R PONUGOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4779 S 7TH ST, TERRE HAUTE, IN 47802-4559
(812) 234-2016
(812) 234-2700
Mailing address
4779 S 7TH ST, TERRE HAUTE, IN 47802-4559
(812) 234-2016
(812) 234-2700
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
01040096
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252770A
—
IN
Enumeration date
03/08/2006
Last updated
11/08/2016
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