Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 036143173 | IL |
NPI | 1235426750 |
---|---|
Provider Name | Dr. Anil Kumar Swayampakula |
First Address | Bronx, NY 10457-5524 |
Second Address | Buffalo, NY 14203-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2011 |
Last Update Date | 14/05/2021 |