Individual
ISHAAN SWARUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC ORTHOPAEDIC SURGERY, PHILADELPHIA, PA 19104
(215) 590-3131
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3238
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A161848
CA
207XP3100X
Pediatric Orthopaedic Surgery Physician
A161848
CA
207XP3100X
Pediatric Orthopaedic Surgery Physician
MT215236
PA
Other
Enumeration date
03/25/2013
Last updated
08/14/2019
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