Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sangy Paul Pottackal, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811286693

Dr. Sangy Paul Pottackal, MD is a Student in an Organized Health Care Education/Training Program in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12901 Bruce B Downs Blvd Mdc 41
Tampa, FL 33612-4742
Phone: (813) 974-3680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME127595 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811286693
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2011
Last updated in NPPESMay 12, 2017

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