Haragopal K Penugonda, MD | |
Suite 240 Medical Arts Bldg, 35 W Linden Street, Wilkes-barre, PA 18702 | |
(570) 826-1111 | |
(570) 829-0300 |
Full Name | Haragopal K Penugonda |
---|---|
Gender | Male |
Speciality | Urology |
Location | Suite 240 Medical Arts Bldg, Wilkes-barre, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073514618 | NPI | - | NPPES |
0668609 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD033967-L (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
Haragopal K Penugonda, MD Suite 240 Medical Arts Bldg, 35 W Linden Street, Wilkes-barre, PA 18702 Ph: (570) 826-1111 | Haragopal K Penugonda, MD Suite 240 Medical Arts Bldg, 35 W Linden Street, Wilkes-barre, PA 18702 Ph: (570) 826-1111 |