Individual
MR. SHAILENDRA SWARUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP-PMH
Contact information
Practice address
4500 FORBES BLVD STE 200, LANHAM, MD 20706-6316
(866) 384-8110
(301) 560-8244
Mailing address
4500 FORBES BLVD STE 200, LANHAM, MD 20706-6316
(866) 384-8110
(301) 560-8244
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
R193356
MD
2084P0805X
Geriatric Psychiatry Physician
R193356
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R193356
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R193356
CRNP
MD
Enumeration date
05/19/2023
Last updated
05/19/2023
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