Bongu, Advaith

Bongu, Advaith is an individual health care provider with primary practice located at 622 W 168Th St , New York NY 10032-3720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Bongu, Advaith can be contacted via phone (212) 305-0914.

Contact Information

Primary practice address
622 W 168Th St New York NY 10032-3720
Fax: (212) 305-4343
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 283949 New York

Profile Details

NPI number 1356577035
LBN Legal business name Bongu, Advaith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2009
Last updated Apr 26th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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