Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD00041064 | WA |
NPI | 1215920889 |
---|---|
Provider Name | Dr. Swati Devendra Vora |
First Address | University Place, WA 98464-1425 |
Second Address | Tacoma, WA 98405-2962 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2005 |
Last Update Date | 28/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1122449 | (05) | WA |
G86630 | (02) | WA |