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DWARAKI BAI PENUGONDA MD PC
NPI 1588866792
Specialist in Wilkes Barre, PA

Active since June 01, 2007
166 HANOVER ST, WILKES BARRE, PA 18702(570) 823-8184(570) 823-6460 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dwaraki Bai Penugonda Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DWARAKI BAI PENUGONDA MD PC (NPI 1588866792) is a healthcare organization registered as a specialist in Wilkes Barre, Pennsylvania and active in the NPI registry since June 2007. The organization lists Dwaraki Bai Penugonda, Physician, as its authorized official.

NPPES Registry Identity

NPI1588866792
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDWARAKI BAI PENUGONDA MD PC
Location Address166 HANOVER STWilkes Barre, PA 18702-3549
Mailing Address166 Hanover StWilkes Barre, PA 18702-3549 · (570) 823-8184 · Fax (570) 823-6460
Phone(570) 823-8184
Fax(570) 823-6460
Organization SubpartNo
Authorized OfficialDwaraki Bai PenugondaPhysician · (570) 823-8184
Enumeration DateJune 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1588866792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD035084Y
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

166 HANOVER ST, Wilkes Barre, PA 18702
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Other Identifiers 1

Medicaid0006538020001PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON RAYMOND WOLOSKI M.D.
Family Medicine
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-8780
GINA TALLO
Student in an Organized Health Care Education/Training Program
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-5674
GEISINGER CLINIC
Internal Medicine
166 HANOVER ST, STE 203
WILKES BARRE, PA 18702
Luzerne County (570) 825-8780
GEISINGER CLINIC
Family Medicine
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-8780
DR. KAREN ANN EPHLIN MD
Pediatrics
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-6672
GEISINGER CLINIC
Family Medicine
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-6672
DR. MICHAEL D RUPP M.D., F.A.C.C.
Internal Medicine (Cardiovascular Disease)
166 HANOVER ST, SUITE 305
WILKES BARRE, PA 18702
Luzerne County (570) 826-6875
VINCENT A. DRAPIEWSKI, MD
Internal Medicine (Geriatric Medicine)
166 HANOVER ST, SUITE 102
WILKES BARRE, PA 18702
Luzerne County (570) 822-5191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dwaraki Bai Penugonda MD PC's NPI number?

The NPI number for Dwaraki Bai Penugonda MD PC is 1588866792. It was assigned to this organization in the NPPES registry on June 1, 2007.

Where is Dwaraki Bai Penugonda MD PC located?

Dwaraki Bai Penugonda MD PC is located at 166 Hanover St, Wilkes Barre, PA 18702. The listed phone number is (570) 823-8184.

What is Dwaraki Bai Penugonda MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dwaraki Bai Penugonda MD PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.