Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 14011 | CA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 007742 | AZ |
NPI | 1285038059 |
---|---|
Provider Name | Dr. Swathi Challa |
First Address | Phoenix, AZ 85012-2716 |
Second Address | Phoenix, AZ 85013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2014 |
Last Update Date | 01/07/2020 |