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Individual
SWARNA MATSA
Active
Individual
SWARNA MATSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.131399
IL
207R00000X
Internal Medicine Physician
Primary
T4426
TX
208M00000X
Hospitalist Physician
036.131399
IL
390200000X
Student in an Organized Health Care Education/Training Program
125057371
IL
Other
Enumeration date
09/20/2010
Last updated
09/22/2022
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