Individual
SWATI PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40107 HIGHWAY 27 STE 200, DAVENPORT, FL 33837-5901
(863) 421-9705
(863) 421-9779
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN CREDENTIALING, FORT MYERS, FL 33916-2216
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME145648
FL
207RH0000X
Hematology (Internal Medicine) Physician
ME145648
FL
207RH0003X
Hematology & Oncology Physician
036-135338
IL
207RX0202X
Medical Oncology Physician
Primary
ME145648
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036135338
—
IL
Enumeration date
08/06/2008
Last updated
06/15/2020
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