PRAVEEN K PONNAMREDDY M.D. NPI 1295752160

NPI Information

NPI: 1295752160
Provider Name: PRAVEEN K PONNAMREDDY, M.D.
Classification: Internal Medicine - 207RH0005X
Entity Type: Individual

Specialization: Hypertension Specialist

PECOS Registration: Yes

Address:
41 MALL RD
BURLINGTON, MA
ZIP 01805
Phone: (781) 744-8000
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Praveen K Ponnamreddy, M.D. is a hypertension specialist internal medicine in Burlington, MA with 24 years of experience. The provider is a Hypertension Specialist is a physician who concentrates on all aspects of the diagnosis and treatment of hypertension. Praveen K Ponnamreddy, M.D. NPI is 1295752160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

41 MALL RD
BURLINGTON, MA
ZIP 01805-001
Phone: (781) 744-8000

The NPI 1295752160 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 12/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208M00000X	Hospitalist		16872	NEW HAMPSHIRE	No
2	208M00000X	Hospitalist		229636	MASSACHUSETTS	No
3	207RH0005X	Internal Medicine	Hypertension Specialist	229636	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1027097	MEDICAID	VERMONT
2	3100323	MEDICAID	NEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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