Individual provider · Type 1 NPI

Pongtawat Lertwilaiwittaya, MD

Clinical Genetics (M.D.) Physician · Birmingham, AL

NPI number 1619546751 Active

Practice location

625 19th St S
Birmingham, AL 35233-1900

Call (205) 934-9666 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Genetics (M.D.) Physician Primary 207SG0201X47930 (AL)

Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

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About NPI 1619546751

Pongtawat Lertwilaiwittaya, MD's National Provider Identifier is 1619546751, issued on Jun 23, 2021. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Birmingham, AL. The record was last updated on Jul 25, 2025.