Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | N5616 | TX |
N | 207Q00000X | Family Doctor | N5616 | TX |
Y | 2086S0122X | Plastic and Reconstructive Surgery | N5616 | TX |
NPI | 1306037585 |
---|---|
Provider Name | Dr. Swetanshu Chaudhari |
First Address | Pearland, TX 77584-0101 |
Second Address | Pearland, TX 77584-0101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 06/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4666961977 | MYUTMB 4666961977 (01) |