Pushpak Pondugula is a student in an organized health care education training program in Jacksonville, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Pushpak Pondugula NPI is 1528703386. 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:
655 W 8TH ST # C126
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 244-3831
Fax: (904) 244-3957
The NPI 1528703386 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 5/4/2022 and was last updated on 3/22/2023.