Individual
SWARNA ERRAMREDDI LATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
675 WATER ST, EXCELSIOR, MN 55331-3063
(952) 474-4167
(952) 474-5700
Mailing address
1852 N MASTICK WAY, NOGALES, AZ 85621-1063
(520) 761-2128
(520) 281-1112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36343
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012552
MEDICA
MN
01
—
100537
UCARE
MN
01
—
566K61A
BLUE CROSS
MN
01
—
566K6LA
HEALTHPARTNERS
MN
01
—
58784
ARAZ
MN
05
—
O85231700
—
MN
Enumeration date
08/22/2006
Last updated
12/13/2021
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