Individual
JITENDRA SWARUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1503 N ROAD ST, ELIZABETH CITY, NC 27909-3243
(252) 335-5446
(252) 335-4153
Mailing address
1503 N ROAD ST, ELIZABETH CITY, NC 27909-3243
(252) 335-5446
(252) 335-4153
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9501120
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1263730002
DMERC
NC
01
—
1263730004
DMERC
NC
05
—
8981164
—
NC
Enumeration date
06/04/2006
Last updated
03/03/2008
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