Individual
SUNDARARAMAN SWAMINATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101252742
VA
207RN0300X
Nephrology Physician
46120
MN
207RN0300X
Nephrology Physician
61286
AZ
207RN0300X
Nephrology Physician
E4687
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06030015400
QUALCHOICE
AR
05
—
160049001
—
AR
01
—
5N481
BLUE CROSS BLUE SHIELD
AR
05
—
792647200
—
MN
01
—
E4687
TRICARE
AR
01
—
P00038096
RAILROAD MEDICARE
AR
01
—
P00395926
RAILROAD MEDICARE
AR
Enumeration date
12/28/2005
Last updated
10/31/2023
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