Individual
DR. PADMA P PONUGOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
76 W SPRINGHILL DR, TERRE HAUTE, IN 47802-8767
(812) 299-2020
(819) 299-0519
Mailing address
76 W SPRINGHILL DR, TERRE HAUTE, IN 47802-8767
(812) 299-2020
(819) 299-0519
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01049944
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200423530
—
IN
Enumeration date
08/28/2006
Last updated
12/02/2010
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