Organization
CLAYMOTH LLC
Active
Organization
CLAYMOTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SWATHI MOTHKUR MD (OWNER/CEO)
(219) 267-1996
Entity
Organization
Contact information
Practice address
1101 CUMBERLAND XING, VALPARAISO, IN 46383-2356
(219) 267-1996
Mailing address
1101 CUMBERLAND XING, VALPARAISO, IN 46383-2356
(219) 267-1996
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01062446A
IN
Other
Enumeration date
03/30/2015
Last updated
05/19/2015
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