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Contact Information

SHASHANK PONUGOTI, MD
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV26505
 Phone: 304-293-1964
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for SHASHANK PONUGOTI · (Male)

NPI Number 1205085651
Status Active
Credentials MD
Entity Individual
Enumeration date 09/10/2008
Last updated 10/31/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • TN License # 53981
  • WV License # 23711
  • KY Medicaid 7100084200
  • OH Medicaid 2969328
  • WV Medicaid 3810015455
  • WV Other 613154600 BLACK LUNG/FECA
  • WV Other 1072968 CARELINK/COVENTRY
  • WV Other 0817345 CIGNA
  • WV Other 000000276995 OH UNISON
Hospital affiliation(s)
  • SUMMIT MEDICAL CENTER - (Acute Care)
    5655 FRIST BLVD
    HERMITAGE, TN 37076
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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