Individual provider · Type 1 NPI
John Ponugupati, MD
Hematology & Oncology Physician · South Charleston, WV
Practice location
401 Division St, Suite 100
South Charleston, WV 25309-1455
Fax (304) 766-4355
Mailing address
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Other practice locations
- 4605 Maccorkle Ave SW, South Charleston, WV 25309-1311 · (304) 414-4800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 26167 (WV) |
| Hematology & Oncology Physician Primary | 207RH0003X | 26167 (WV) |
Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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About NPI 1124274303
John Ponugupati, MD's National Provider Identifier is 1124274303, issued on Aug 7, 2008. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in South Charleston, WV. The record was last updated on Dec 30, 2021.