Search › North Carolina › 208M00000X
Shruthi Ponnala, MD
NPI 1831711191 · on the registry since 2020
Practice
- Address
- 329 Nc Highway 801 N
Bermuda Run, NC 27006 - Phone
- (336) 998-2228
- Organisation at this address
- Carenet, Inc.
Davie Medical Center
Davie Medical Center
North Carolina Baptist Hospital
Wake Forest University Health SciencesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 29
Additional practice sites
- 1575 Beam Ave, Maplewood, MN
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 207R00000X
390200000X - Licence states on file
- MN, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina