Individual
SWAROOP PENDYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1385 VISTA LN, CARSON CITY, NV 89703-4643
(775) 884-4567
Mailing address
1385 VISTA LN, CARSON CITY, NV 89703-4643
(775) 884-4567
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
14292
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/24/2010
Last updated
09/26/2012
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