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Dr. Sangy Paul Pottackal, MD
Diagnostic Radiology Physician in Tampa, Florida
NPI 1811286693

Sangy Paul Pottackal is a Diagnostic Radiology Physician based in Tampa, FL and is specialized in Diagnostic Radiology. Sangy Paul Pottackal practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Sangy Paul Pottackal is 1811286693 and holds a License No. (Florida).

The current practice location address for Sangy Paul Pottackal is 12901 Bruce B Downs Blvd, Tampa, FL and can be reached out via phone at 813-974-3680.

Location: 12901 Bruce B Downs Blvd, Tampa, FL, 33612-5513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811286693
Provider Name
Sangy Paul Pottackal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12901 Bruce B Downs Blvd, Tampa, FL, 33612-5513
Phone Number
813-974-3680
Fax Number
Provider Enumeration Date
04/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12901 Bruce B Downs Blvd
City
Tampa
State
Florida
Zip
33612-4742
Phone Number
813-974-3680
Fax Number
person
Provider Business Mailing Address Details
Address
12901 Bruce B Downs Blvd
City
Tampa
State
Florida
Zip
33612-4742
Phone Number
813-974-3680
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME127595 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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