NPI 1619546751

Pongtawat Lertwilaiwittaya, MD

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

Practice location

Address: 625 19th St S, Birmingham, AL 35233-1900
Phone: (205) 934-9666

Registered specialties (2)

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence 47930 (AL)

Other Medical Genetics providers in Alabama →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1619546751
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jun 2021
Record last updated: 25 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.