Individual
SWETHA RENATI
Active
Individual
SWETHA RENATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301100641
MI
2084N0400X
Neurology Physician
Primary
TRN# 18515
FM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021138800
—
FL
01
—
Z9X8D
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/20/2012
Last updated
03/29/2021
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