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DR. SANDEEP NAGARAJ WONTAKAL M.D. PH.D. NPI 1235549601


NPI Information

NPI: 1235549601
Provider Name: DR. SANDEEP NAGARAJ WONTAKAL, M.D., PH.D.
Classification: Pathology - 207ZP0007X
Entity Type: Individual

Specialization: Molecular Genetic Pathology

PECOS Registration: Yes

Address:
177 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032
Phone: (212) 305-2500
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DR. Sandeep Nagaraj Wontakal, M.D., PH.D. is a molecular genetic pathology pathology in New York, NY. The provider is a molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders. DR. Sandeep Nagaraj Wontakal, M.D., PH.D. NPI is 1235549601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

177 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032-733
Phone: (212) 305-2500

The NPI 1235549601 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/6/2014 and was last updated on 1/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0105XPathologyClinical Pathology/Laboratory Medicine291355NEW YORKNo
2207ZP0007XPathologyMolecular Genetic Pathology291355NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.