Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul R Ponnaiya, MD

Individual provider Internal Medicine Physician · NPI 1528059672

Paul R Ponnaiya, MD is an Internal Medicine in Rock Hill, South Carolina. Qualified in 1979, 47 years ago. Accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
47
Licensed in
NV
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1795 Dr Frank Gaston Blvd
Rock Hill, SC 29732-1190
Phone: (702) 256-3637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 10806 (NV)

Record details

NPI number1528059672
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 28, 2005
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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