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Dwaraki Bai Penugonda Md Pc
Specialist in Wilkes Barre, Pennsylvania
NPI 1588866792

Dwaraki Bai Penugonda Md Pc is a Specialist based in Wilkes Barre, PA. Dwaraki Bai Penugonda Md Pc practices in Wilkes Barre, PA. The NPI Number for Dwaraki Bai Penugonda Md Pc is 1588866792 and holds a License No. MD035084Y (Pennsylvania).

The current practice location address for Dwaraki Bai Penugonda Md Pc is 166 Hanover St, Wilkes Barre, PA and can be reached out via phone at 570-823-8184 and via fax at 570-823-6460.

Location: 166 Hanover St, Wilkes Barre, PA, 18702-3549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588866792
Provider Name
Dwaraki Bai Penugonda Md Pc
Credential
Provider Entity Type
Organization
Address
166 Hanover St, Wilkes Barre, PA, 18702-3549
Phone Number
570-823-8184
Fax Number
570-823-6460
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0006538020001 05 PA
institution
Provider Business Practice Location Address Details
Address
166 Hanover St
City
Wilkes Barre
State
Pennsylvania
Zip
18702-3549
Phone Number
570-823-8184
Fax Number
570-823-6460
person
Provider Business Mailing Address Details
Address
166 Hanover St
City
Wilkes Barre
State
Pennsylvania
Zip
18702-3549
Phone Number
570-823-8184
Fax Number
570-823-6460
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD035084Y (Pennsylvania)
Definition
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.
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