Individual provider · Type 1 NPI

Advaith Bongu, MD

Surgery Physician · New York, NY

NPI number 1356577035 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Call (212) 305-0914 Map

Fax (212) 305-4343

Specialties and licenses

TaxonomyCodeLicense
Transplant Surgery Physician 204F00000X283949 (NY)
Surgery Physician Primary 208600000X25MA09499200 (NJ)
Transplant Surgery Physician 204F00000X25MA09499200 (NJ)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1356577035

Advaith Bongu, MD's National Provider Identifier is 1356577035, issued on Jun 8, 2009. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in New York, NY. The record was last updated on Jun 26, 2026.