Individual
SWAPNA KATIPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3025 N OAKWOOD AVE, MUNCIE, IN 47304-2261
(765) 298-4120
(765) 751-3377
Mailing address
PO BOX 506, YORKTOWN, IN 47396-0506
(765) 298-4120
(765) 751-3377
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01074653A
IN
390200000X
Student in an Organized Health Care Education/Training Program
57.022359
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200112430
—
IN
Enumeration date
04/24/2013
Last updated
05/10/2021
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