IndividualActive
Advaith Bongu, MD
NPI 1356577035 · Transplant Surgery Physician · New York, NY
Provider details
- NPI number
- 1356577035
- Entity type
- Individual
- Primary specialty
- Transplant Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 283949 (NY)
Practice location
622 W 168th St
New York, NY 10032-3720
Phone: (212) 305-0914
Fax: (212) 305-4343
Mailing address
622 W 168th St
New York, NY 10032-3720
Registry dates
- Enumerated
- 2009-06-08
- Last updated
- 2018-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.