| 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 |