DWARAKI BAI PENUGONDA MD PC NPI 1588866792

NPI Information

  • NPI: 1588866792
  • Provider Name: DWARAKI BAI PENUGONDA MD PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 166 HANOVER ST
    WILKES BARRE, PA
    ZIP 18702
  • Phone: (570) 823-8184

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NPI Details

DWARAKI BAI PENUGONDA MD PC is a specialist in Wilkes Barre, PA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DWARAKI BAI PENUGONDA MD PC NPI is 1588866792. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

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

The provider's authorized official is Dwaraki Bai Penugonda .
The authorized official title is Physician and has the following contact phone number (570) 823-8184.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 8/22/2020.

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
1174400000XSpecialistMD035084YPENNSYLVANIAYes

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
10006538020001MEDICAIDPENNSYLVANIA

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: 11/21/2025

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