Individual
SUPREEYA SWARUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
34 MARK WEST SPRINGS RD FL 3, SANTA ROSA, CA 95403-1766
(707) 573-5200
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950
(707) 573-5200
(707) 573-5417
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
3723
TN
207RI0011X
Interventional Cardiology Physician
Primary
20A22995
CA
Other
Enumeration date
07/20/2011
Last updated
06/18/2025
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