Organization
PAUL R PONNAIYA MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL R PONNAIYA MD (PRESIDENT)
(702) 388-9777
Entity
Organization
Contact information
Practice address
1795 DR FRANK GASTON BLVD, ROCK HILL, SC 29732-1190
(702) 256-3637
Mailing address
3022 S DURANGO DR STE 100, LAS VEGAS, NV 89117-4440
(702) 256-3637
(702) 405-8895
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
09/11/2013
Last updated
08/12/2022
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