Individual
SWATHI PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 CLIFTON RD NE FL 2, ATLANTA, GA 30322-4874
(404) 785-7189
Mailing address
1547 CLIFTON RD NE FL 2, ATLANTA, GA 30322-4008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
71779-20
WI
208000000X
Pediatrics Physician
Primary
99486
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922502145
—
WI
Enumeration date
03/21/2018
Last updated
07/09/2024
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