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DR. DWARAKI BAI PENUGONDA M.D. NPI 1386701357


NPI Information

NPI: 1386701357
Provider Name: DR. DWARAKI BAI PENUGONDA, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
166 HANOVER ST
SUITE 307
WILKES BARRE, PA
ZIP 18702
Phone: (570) 823-8184
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DR. Dwaraki Bai Penugonda, M.D. is a pediatrics in Wilkes Barre, PA. The provider is a pediatrician 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. DR. Dwaraki Bai Penugonda, M.D. NPI is 1386701357. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

166 HANOVER ST
SUITE 307
WILKES BARRE, PA
ZIP 18702-549
Phone: (570) 823-8184
Fax: (570) 823-6460

The enumeration date for this NPI number is 1/2/2007 and was last updated on 7/8/2007.


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
1208000000XPediatricsMD035084YPENNSYLVANIAYes

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
1B36519MEDICARE UPINPENNSYLVANIA
20006538020001MEDICAIDPENNSYLVANIA

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: 5/5/2024

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