Suri Babu Ponamgi, MD
Suri Babu Ponamgi, MD is a Plastic and Reconstructive Surgery in Fort Lee, New Jersey. Qualified in 1969, 57 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 57
- Licensed in
- NJ
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1101 Palisade AveFort Lee, NJ 07024-6329
Phone: (201) 224-8831
Fax: (201) 224-9278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X (NJ) |
|---|
Record details
| NPI number | 1437155009 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | June 28, 2005 |
| Last updated in NPPES | July 16, 2007 |
Medicare enrollment
| Medicare specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 1969 (57 years in practice) |
| Group practice | Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |