Bala Sundara Raju Ponnam, M.D.

NPI #1477890614 in Arlington, Texas

Provider Information

NPI Number: 1477890614
Entity Type: Individual
Name: Bala Sundara Raju Ponnam, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jan 8, 2013
Last Updated: Jul 21, 2022

Practice Location

Address: 800 W RANDOL MILL RD STE 2300
City: Arlington
State: Texas
ZIP Code: 76012-2504
Phone: (817) 960-6648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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