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Contact Information

SANDEEP N WONTAKAL, M.D., PH.D.
600 N WOLFE ST
BALTIMORE, MD21287-0005
 Phone: 410-955-1180
 Fax: 410-614-9556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Molecular Genetic Pathology

207ZP0007X 22 Physician/Pathology
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for SANDEEP N WONTAKAL · (Male)

NPI # 1235549601
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 05/06/2014
Last updated 02/11/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MD License # D93757
  • NY License # 291355
Hospital affiliation(s) Not Available
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.

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