Individual
SHARADA D PENUGONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5656 BEE CAVES RD, D204, WEST LAKE HILLS, TX 78746-5280
(512) 327-9251
(512) 327-9742
Mailing address
5656 BEE CAVES RD, D204, WEST LAKE HILLS, TX 78746-5280
(512) 327-9251
(512) 327-9742
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AP45
GROUP PTAN
TX
05
—
183566201
—
TX
Enumeration date
09/20/2006
Last updated
09/19/2013
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