National Provider Identifier Database

VIDYASHANKAR R PONNATHPUR, MD – NPI #1588608103
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

VIDYASHANKAR R PONNATHPUR, MD
235 E BROWN ST
EAST STROUDSBURG, PA18301
Phone: 272-212-4000
Fax: 570-424-6631
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for VIDYASHANKAR R PONNATHPUR

NPI Number 1588608103
Credentials MD
Entity Individual
Enumeration date 06/15/2006
Last updated 09/05/2025 - About 9 months ago
Sole proprietor1 No
Identifiers
  • PA License #: MD067991L
  • PA Medicaid: 0017414180001
  • PA Other: PO99417 BC
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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