Individual
SANTOSH SWAMINATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 ACADEMY AVE, GREENWOOD, SC 29646-3808
(203) 805-2357
Mailing address
166 HAMDEN AVE APT 7, WATERBURY, CT 06704-2796
(203) 805-2357
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
91329
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913293
—
SC
Enumeration date
06/20/2017
Last updated
08/09/2024
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