Individual
DR. SWETHA NARAHARI PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
616 STATE ROAD 13 STE 8, ST JOHNS, FL 32259-3868
(904) 512-1899
(904) 770-7592
Mailing address
PO BOX 13834, TALLAHASSEE, FL 32317-3834
(904) 512-1899
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2017-01441
NC
207N00000X
Dermatology Physician
Primary
ME155699
FL
390200000X
Student in an Organized Health Care Education/Training Program
MT203682
PA
Other
Enumeration date
06/18/2013
Last updated
09/21/2022
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