Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 35046087 | OH |
Y | 2080P0201X | Pediatric Allergist | 35046087 | OH |
NPI | 1639143290 |
---|---|
Provider Name | Kumar N Swamy |
First Address | Cleveland, OH 44109-1900 |
Second Address | Lorain, OH 44053-3431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 07/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0483007 | (05) | OH |
C02103 | (02) | OH |