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Individual

GAYATHRI SWAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0200
(512) 218-6330
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD437780
PA
207R00000X
Internal Medicine Physician
Primary
Q5231
TX
208M00000X
Hospitalist Physician
MD437780
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1024010750003
PA
Enumeration date
08/10/2009
Last updated
12/12/2022
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