Individual
NIMISHA R SWALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 USA PKWY # IN, FISHERS, IN 46037-9255
(317) 678-3850
(317) 968-1142
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01090428A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430H86
MEDICARE PTAN
IN
05
—
300079800
—
IN
Enumeration date
03/27/2020
Last updated
10/03/2023
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