Individual
SWATANTRA L ADUSUMILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25678 WOODPATH TRL, WESTLAKE, OH 44145-5705
(440) 734-5185
Mailing address
25678 WOODPATH TRL, WESTLAKE, OH 44145-5705
(440) 734-5185
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
50339
MA
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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