Individual provider · Type 1 NPI

John Ponugupati, MD

Hematology & Oncology Physician · South Charleston, WV

NPI number 1124274303 Active

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

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X26167 (WV)
Hematology & Oncology Physician Primary 207RH0003X26167 (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.