Individual
SRAVAN PANUGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
631 COX RD, GASTONIA, NC 28054-3438
(704) 864-7764
(704) 867-7894
Mailing address
631 COX RD, GASTONIA, NC 28054-3438
(704) 864-7764
(704) 867-7894
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2021-00288
NC
208800000X
Urology Physician
208800000X
NJ
208800000X
Urology Physician
S3439
TX
Other
Enumeration date
06/11/2015
Last updated
07/01/2021
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