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Amulya Ponna

NPI 1831068683 · on the registry since 2025

Practice

Address
6062 Ridge Ave
Philadelphia, PA 19128
Phone
(212) 385-3700
Organisation at this address
Lyceum Physical Medicine, Pc
Lyceum Longevity Center Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
363A00000X
363A00000X
Sex
Male
Record last updated
2026-01-16

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 Pennsylvania