National Provider Identifier
Sravan Kumar Ponnekanti
Sravan Kumar Ponnekanti is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Corning, NY and a listed phone number of (607) 937-0000.
Profile Overview
- NPI
- 1982228763
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- June 08, 2020
- Last Updated
- October 28, 2024
Practice Location
- 1 Guthrie Dr
- Corning, NY 14830
Phone: (607) 937-0000
Mailing Address
- 1 Guthrie Dr
- Corning, NY 14830-3696
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1982228763
- Entity Type
- Individual
- Last Name
- Ponnekanti
- First Name
- Sravan
- Middle Name
- Kumar
- Name Prefix
- Dr.
- Mailing Street Address
- 1 Guthrie Dr
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830-3696
- Mailing Country
- US
- Mailing Phone
- (607) 937-0000
- Practice Street Address
- 1 Guthrie Dr
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830
- Practice Country
- US
- Practice Phone
- (607) 937-0000
- Enumeration Date
- June 08, 2020
- Last Updated
- October 28, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- October 28, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)