Individual
SWATI ANDHAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A106688
CA
207RH0003X
Hematology & Oncology Physician
Primary
A106688
CA
207RH0003X
Hematology & Oncology Physician
ME106397
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002389000
—
FL
05
—
1225258668
—
CA
Enumeration date
04/26/2007
Last updated
03/18/2024
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