Individual provider · Type 1 NPI

Sangy Paul Pottackal, MD

Diagnostic Radiology Physician · Tampa, FL

NPI number 1811286693 Active

Practice location

12901 Bruce B Downs Blvd, Mdc 41
Tampa, FL 33612-4742

Mailing address

2700 University Square Dr
Tampa, FL 33612-5513

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202XME127595 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1811286693

Sangy Paul Pottackal, MD's National Provider Identifier is 1811286693, issued on Apr 1, 2011. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Tampa, FL. The record was last updated on May 12, 2017.