Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 22DI02467800 | NJ |
N | 213EG0000X | General Practice | 22DI02467800 | NJ |
Y | 1223G0001X | General Practice | DS038584 | PA |
Y | 213EG0000X | General Practice | DS038584 | PA |
NPI | 1003115221 |
---|---|
Provider Name | Dr. Swetha Reddy Pakanati |
First Address | Langhorne, PA 19047 |
Second Address | Langhorne, PA 19047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 08/01/2019 |