Provider Demographics
NPI:1376842963
Name:PONNAMREDDY, SWAROOPA (MD)
Entity type:Individual
Prefix:DR
First Name:SWAROOPA
Middle Name:
Last Name:PONNAMREDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SWAROOPA
Other - Middle Name:
Other - Last Name:YERRABOTHALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:800 NE 10TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5418
Mailing Address - Country:US
Mailing Address - Phone:405-271-4022
Mailing Address - Fax:405-271-3020
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:HEMATOLOGY/TRANSFUSION MEDICINE
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-2967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH15736207ZB0001X, 207RH0000X
OK44997207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine