Individual
SWAYAMPRABHA S TYAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
414 LUGENIA DR, VIDALIA, GA 30474-7210
(912) 537-9355
(912) 537-7038
Mailing address
414 LUGENIA DR, VIDALIA, GA 30474-7210
(912) 537-9355
(912) 537-7038
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32318
GA
208000000X
Pediatrics Physician
47063
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000517833B
—
GA
05
—
000517833F
—
GA
05
—
000517833H
—
GA
05
—
000517833I
—
GA
Enumeration date
01/26/2007
Last updated
11/15/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us