Individual
DR. SANDEEP NAGARAJ WONTAKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-1180
(410) 614-9556
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
291355
NY
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
D93757
MD
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
291355
NY
Other
Enumeration date
05/06/2014
Last updated
02/11/2025
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