Abhilasha R Ponnamaneni, MD
Family Medicine in Medford, New Jersey
1548574346- Practice location
- 639 Stokes RD, Suite 102, Medford, NJ 08055-3003
- Phone
- 609-654-7556
- Fax
- 609-714-9228
- Last updated
- August 14, 2012
Abhilasha Rao Ponnamaneni is a Family Medicine based in Medford, NJ. Abhilasha Rao Ponnamaneni practices in Medford, NJ and has the professional credentials of MD. The NPI Number for Abhilasha Rao Ponnamaneni is 1548574346 and holds a License No. 25MA08964100 (NJ). The current practice location address for Abhilasha Rao Ponnamaneni is 639 Stokes RD, Suite 102, Medford, NJ 08055-3003 and can be reached out via phone at 609-654-7556 and via fax at 609-714-9228.
Provider Profile Details
- NPI Number
- 1548574346
- Provider Name
- Abhilasha Rao Ponnamaneni
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 639 Stokes RD, Suite 102, Medford, NJ 08055-3003
- Phone Number
- 609-654-7556
- Fax Number
- 609-714-9228
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 4, 2010
- Last Update Date
- August 14, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 639 Stokes RD
Suite 102
Medford, NJ 08055-3003 - City
- Medford
- State
- New Jersey
- Zip
- 08055-3003
- Phone Number
- 609-654-7556
- Fax Number
- 609-714-9228
Provider Business Mailing Address Details
- Address
- 811 Sunset RD
Suite 101
Burlington, NJ 08016-3645 - City
- Burlington
- State
- NJ
- Zip
- 08016-3645
- Phone Number
- 609-387-9242
- Fax Number
- 609-387-9408
License Information
- License Number
- 25MA08964100
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Medford, NJ
View all Family Medicine providers in Medford →- Alfred V Enriquez, MDFamily Medicine · NPI 1912249145
- Alliance For Better Care, P.c.Family Medicine · NPI 1740352459
- Cynthia M Genovese, MDFamily Medicine · NPI 1902034242
- Daniel Reiners, MDFamily Medicine · NPI 1245975358
- Dr. Amy I Scheuermann, MDFamily Medicine · NPI 1801357231
- Dr. Anthony M Albert-Puleo, MDFamily Medicine · NPI 1265478101
Frequently Asked Questions
What is the NPI number of Abhilasha R Ponnamaneni, MD?
The NPI number of Abhilasha R Ponnamaneni, MD is 1548574346. It was assigned on August 4, 2010 and is currently active in the NPPES registry.
What is the specialty of Abhilasha R Ponnamaneni, MD?
Abhilasha R Ponnamaneni, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA08964100.
Where does Abhilasha R Ponnamaneni, MD practice?
The practice location is 639 Stokes RD, Suite 102, Medford, NJ 08055-3003. The office can be reached at 609-654-7556 (phone) or 609-714-9228 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548574346 directly on the NPPES registry website.