NPI 1124274303

John Ponugupati, MD

Practitioner Hematology & Oncology Physician South Charleston, WV

Practice location

Address: 401 Division St Suite 100, South Charleston, WV 25309-1455
Phone: (304) 766-4350
Fax: (304) 766-4355
Mailing address: 4605 Maccorkle Ave SW, South Charleston, WV 25309-1311

Registered specialties (2)

Hematology & Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RH0003X Licence 26167 (WV)

Other Internal Medicine providers in West Virginia →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 26167 (WV)

Registry record

NPI: 1124274303
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2008
Record last updated: 30 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.