Individual
SWAPNA DEVANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
310 SMITH AVE N STE 300, SAINT PAUL, MN 55102-2383
(651) 241-5111
(651) 241-5512
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-128800
IL
207RH0003X
Hematology & Oncology Physician
63636
MN
207RX0202X
Medical Oncology Physician
Primary
63636
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036128800
—
IL
Enumeration date
06/26/2009
Last updated
06/10/2021
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