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Individual

SHARAD S SWAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
533 S 30TH ST, SUITE A, CLINTON, OK 73601-3656
(817) 466-3408
(817) 466-7285
Mailing address
PO BOX 973176, DALLAS, TX 75397-3176
(817) 466-3408
(817) 466-7285

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
N8580
TX
207R00000X
Internal Medicine Physician
Primary
18658
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100018010A
OK
Enumeration date
05/30/2006
Last updated
08/19/2014
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