Dr. Advaith Bongu
Transplant Surgeon
622 W 168th St
New York
, New York 10032-3720
Dr. Advaith Bongu
Transplant Surgeon
622 W 168th St
New York
, New York 10032-3720
(212) 305-4343
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About
Features
Specialties
- Transplant Surgeon
Languages spoken
- English
Location
First Address
- Dr. Advaith Bongu
- 622 W 168th St
- New York, NY
- Zip : 10032-3720
- Fax : (212) 305-4343
- Phone : (212) 305-0914
Second Address
- Dr. Advaith Bongu
- 622 W 168th St
- New York, NY
- Zip : 10032-3720
- Fax : (212) 305-4343
- Phone : (212) 305-0914
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgeon | 283949 | NY |
National Provider Identifier
| NPI | 1356577035 |
|---|---|
| Provider Name | Dr. Advaith Bongu |
| First Address | New York, NY 10032-3720 |
| Second Address | New York, NY 10032-3720 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2009 |
| Last Update Date | 26/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.