Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | C160212 | CA |
Y | 111NI0900X | Internist | C160212 | CA |
N | 208D00000X | General Practice Physician | 269843 | NY |
NPI | 1033409644 |
---|---|
Provider Name | Dr. Swati Pathak |
First Address | Sacramento, CA 95827-2539 |
Second Address | Manteca, CA 95337-7802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2011 |
Last Update Date | 08/02/2019 |