Individual
SWAMI NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
198 THOMAS JOHNSON DR, SUITE 207, FREDERICK, MD 21702
(301) 694-5344
Mailing address
198 THOMAS JOHNSON DR, SUITE 207, FREDERICK, MD 21702
(301) 694-5344
(301) 694-5125
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
14510
WV
207T00000X
Neurological Surgery Physician
Primary
D18414
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089641000
—
WV
05
—
793781400
—
MD
Enumeration date
11/07/2006
Last updated
08/07/2008
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