Dr. Dwaraki Bai Penugonda
M.D. | Pediatrics | Female
Dr. Dwaraki Bai Penugonda, M.D. is a Wilkes Barre, Pennsylvania based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Dwaraki Bai Penugonda is
166 Hanover St, Suite 307, Wilkes Barre, Pennsylvania - 18702-3549. She can be contacted on phone at
570-823-8184 and fax number 570-823-6460.
Dr. Dwaraki Bai Penugonda is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Dwaraki Bai Penugonda is
1386701357 which was assigned by NPPES on 02 Jan, 2007 and it was last updated on 08 Jul, 2007.
Dr. Dwaraki Bai Penugonda license number is
MD035084Y for Pediatrics (208000000X) in Pennsylvania.
Dr. Dwaraki Bai Penugonda is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Dwaraki Bai Penugonda basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Dwaraki Bai Penugonda |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Dwaraki Bai Penugonda address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 166 Hanover St, Suite 307
Wilkes Barre, PA, 18702-3549
United States |
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| Phone Number : | 570-823-8184 |
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| Fax Number : | 570-823-6460 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1386701357 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Jan, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Dwaraki Bai Penugonda are as mentioned. Primary taxonomy code for Dr. Dwaraki Bai Penugonda, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | MD035084Y | PA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Dwaraki Bai Penugonda such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0006538020001 | MEDICAID | PA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 166 Hanover St, Suite 307
Wilkes Barre, PA, 18702-3549
United States |
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| Phone Number : | 570-823-8184 |
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| Fax Number : | 570-823-6460 |
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Business Location:
Patients can refer following map for directions to
Dr. Dwaraki Bai Penugonda practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.