IndividualActive
John Ponugupati, M.D.
NPI 1124274303 · Hematology & Oncology Physician · South Charleston, WV
Provider details
- NPI number
- 1124274303
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 26167 (WV)
Practice location
401 Division St
Suite 100
South Charleston, WV 25309-1455
Phone: (304) 766-4350
Fax: (304) 766-4355
Mailing address
4605 Maccorkle Ave Sw
South Charleston, WV 25309-1311
Registry dates
- Enumerated
- 2008-08-07
- Last updated
- 2021-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.