MEDICARE: MRS. SWATHI KRISHNA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	76413	GA
2	2084P0804X	Child & Adolescent Psychiatry Physician	MC-2728	ID
3	2084P0804X	Child & Adolescent Psychiatry Physician	138273	MT
4	2084P0804X	Child & Adolescent Psychiatry Physician	224194	AK
5	2084P0804X	Child & Adolescent Psychiatry Physician	76413	GA

General Provider Information

NPI Number	:	1427492131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SWATHI KRISHNA MD

Provider Business Mailing Address
First Line	:	1501 HIGH HAVEN CT NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-3203
Country	:	US
Telephone Number	:	678-763-4322
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 HIGH HAVEN CT NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-3203
Country	:	US
Telephone Number	:	678-763-4322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2013
Last Update Date	:	05/20/2025

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