Individual
DR. MADHURI PENUGONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-5552
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD2023-0411
NM
2080P0214X
Pediatric Pulmonology Physician
Primary
MED-PHYS-LIC-129354
MT
Other
Enumeration date
06/27/2008
Last updated
05/07/2026
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