Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD-42640 | IA |
N | 207Q00000X | Family Doctor | MT201901 | PA |
N | 207QA0505X | Family Doctor - Adult Medicine | MD 42640 | IA |
NPI | 1255688461 |
---|---|
Provider Name | Swetha L Narayana |
First Address | Cincinnati, OH 45246-4137 |
Second Address | Cincinnati, OH 45246-4137 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2012 |
Last Update Date | 17/03/2018 |