Individual
ANANDAN SWAMINATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2030 E AZTEC AVE, GALLUP, NM 87301-4804
(505) 863-2208
(505) 863-2236
Mailing address
PO BOX 8387, ALBUQUERQUE, NM 87198-8387
(505) 841-1000
(505) 843-2853
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
98-177
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z2214
—
NM
Enumeration date
06/08/2005
Last updated
09/29/2008
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