National Provider Identifier Database

PONGTAWAT LERTWILAIWITTAYA, MD – NPI #1619546751
Clinical Genetics (M.D.)

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.


Contact Information

PONGTAWAT LERTWILAIWITTAYA, MD
625 19TH ST S
BIRMINGHAM, AL35233-1900
Phone: 205-934-9666
Fax:
Website:
Specialty Taxonomy Code
* Clinical Genetics (M.D.) 207SG0201X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for PONGTAWAT LERTWILAIWITTAYA

NPI Number 1619546751
Credentials MD
Entity Individual
Enumeration date 06/23/2021
Last updated 07/25/2025 - About 10 months ago
Sole proprietor1 No
Identifiers
  • AL License #: 47930
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PONGTAWAT LERTWILAIWITTAYA, MD

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