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1205085651
SHASHANK PONUGOTI
MORGANTOWN, WV
NPI
1205085651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WV 23711)
Enumeration Date
2008-09-10
Last Update Date
2011-12-14
Business Address
Dr. SHASHANK PONUGOTI MD
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26505
Phone number: 304-293-1964
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Mailing Address
Dr. SHASHANK PONUGOTI MD
PO BOX 88
WHITE SULPHUR SPRINGS, WV 24986-0088
Phone number: 304-536-5030
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