Individual
VIDYASHANKAR RAMASWAMY PONNATHPUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 E BROWN ST, EAST STROUDSBURG, PA 18301
(272) 212-4000
(570) 424-6631
Mailing address
235 E BROWN ST, EAST STROUDSBURG, PA 18301-3013
(272) 212-4000
(570) 424-6631
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD067991L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017414180001
—
PA
01
—
PO99417
BC
PA
Enumeration date
06/15/2006
Last updated
09/05/2025
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