Individual
SWATI PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MBBS
Contact information
Practice address
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207-8205
(904) 202-3860
(904) 202-3846
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
073796
GA
207R00000X
Internal Medicine Physician
207R00000X
NE
207R00000X
Internal Medicine Physician
56405
MN
207R00000X
Internal Medicine Physician
ME145565
FL
208M00000X
Hospitalist Physician
073796
GA
208M00000X
Hospitalist Physician
Primary
ME145565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538471917
—
MI
05
—
1538471917
—
MN
05
—
1538471917
—
WI
Enumeration date
07/13/2010
Last updated
01/06/2021
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