Individual
SWETHA PEDAVALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1400 PELHAM PKWY S, BUILDING #1, 3N1, BRONX, NY 10461-1138
(718) 918-7460
(718) 918-7460
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
29267
NE
2084N0600X
Clinical Neurophysiology Physician
Primary
29267
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2012
Last updated
10/31/2023
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