Individual
DR. SWAPNA NONESUPPLIED CHENNAREDDYGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5179
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5179
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N1584
TX
208M00000X
Hospitalist Physician
47611
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2783679160
MYUTMB 2783679160-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
08/10/2020
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