Individual
JITENDRA SWARUP
Active
Individual
JITENDRA SWARUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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