Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 067326 | GA |
N | 111NI0900X | Internist | 067326 | GA |
N | 207R00000X | Internist | 236055 | NY |
N | 111NI0900X | Internist | 236055 | NY |
Y | 207RI0200X | Infectious Disease | 067326 | GA |
N | 207RI0200X | Infectious Disease | 236055 | NY |
NPI | 1043241128 |
---|---|
Provider Name | Dr. Mahesh Swaminathan |
First Address | Atlanta, GA 30333 |
Second Address | Atlanta, GA 30329-4018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 10/07/2012 |