1952082042 NPI number — NAMITA SWARUP M.D., LLC

Table of content: (NPI 1952082042)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952082042 NPI number — NAMITA SWARUP M.D., LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NAMITA SWARUP M.D., LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952082042
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/13/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5500 RIDGE ROAD
Provider Second Line Business Mailing Address:
SUITE 220
Provider Business Mailing Address City Name:
PARMA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44129-2394
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
440-842-7447
Provider Business Mailing Address Fax Number:
440-842-7484

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5500 RIDGE ROAD
Provider Second Line Business Practice Location Address:
SUITE 220
Provider Business Practice Location Address City Name:
PARMA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-842-7447
Provider Business Practice Location Address Fax Number:
440-842-7484
Provider Enumeration Date:
07/31/2023

Additional Information

Authorized Official

Authorized Official Last Name:
SWARUP
Authorized Official First Name:
NAMITA
Authorized Official Middle Name:
Authorized Official Title or Position:
M.D.
Authorized Official Telephone Number:
440-724-3846

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2376914 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com