Individual
GOPI MANOHAR C PONNAGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 BOW ST, ELKTON, MD 21921-5544
(410) 398-4000
Mailing address
P.O. BOX 191, ROCKLAND, DE 19723-0191
(302) 651-4000
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
D84100
MD
Other
Enumeration date
02/25/2015
Last updated
09/26/2017
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