| Dr Dwaraki Bai Penugonda, MD | |
|
166 Hanover St, Suite 307, Wilkes Barre, PA 18702-3549 | |
| (570) 823-8184 | |
| (570) 823-6460 |
| Full Name | Dr Dwaraki Bai Penugonda |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 166 Hanover St, Wilkes Barre, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386701357 | NPI | - | NPPES |
| 0006538020001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD035084Y (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dwaraki Bai Penugonda, MD 166 Hanover St, Suite 307, Wilkes Barre, PA 18702-3549 Ph: (570) 823-8184 | Dr Dwaraki Bai Penugonda, MD 166 Hanover St, Suite 307, Wilkes Barre, PA 18702-3549 Ph: (570) 823-8184 |
Dr. Jasmine Vincent, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25 Church St, Wilkes Barre, PA 18765 Phone: 570-808-3181 | |
Mrs. Connie Beiro Freeman, NNP Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7300 | |
Dr. Karen Ann Ephlin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 166 Hanover St, Wilkes Barre, PA 18702 Phone: 570-808-6672 Fax: 570-808-6673 | |
Dr. Akila Venkataraman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7300 | |
Mr. Leopoldo Poblete Legaspi Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 25 Church St, Wilkes Barre, PA 18702 Phone: 570-808-3100 | |
Dr. Jayesh B Shah, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-8653 Fax: 570-808-8658 | |
Dr. Michelle K Sudo, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1102 Highway 315 Blvd, Wilkes Barre, PA 18702 Phone: 570-235-1470 Fax: 570-550-9356 |