Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 39885 | MN |
N | 111NI0900X | Internist | 39885 | MN |
Y | 207RG0100X | Gastroenterologist | 39885 | MN |
N | 207RG0100X | Gastroenterologist | ME134205 | FL |
NPI | 1013997865 |
---|---|
Provider Name | Santhi Swaroop Vege |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 21/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G51049 | (02) |