Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01071607 | IN |
N | 111NI0900X | Internist | 01071607 | IN |
Y | 207RN0300X | Nephrologist | 01071607 | IN |
NPI | 1023275617 |
---|---|
Provider Name | Dr. Swathi Singanamala |
First Address | Macon, GA 31201-3297 |
Second Address | Macon, GA 31201-3297 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2008 |
Last Update Date | 19/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201110030 | (05) | IN |