Provider Demographics
NPI:1770308470
Name:WONGTANGMAN, KARUNA (MD)
Entity type:Individual
Prefix:MRS
First Name:KARUNA
Middle Name:
Last Name:WONGTANGMAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:MISS
Other - First Name:KARUNA
Other - Middle Name:
Other - Last Name:PHATANGJAIJING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:MONTEFIORE MEDICAL CENTER
Mailing Address - Street 2:111 E 210 ST
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MONTEFIORE MEDICAL CENTER
Practice Address - Street 2:111 E 210 ST
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-920-4316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY324723207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology