MEDICARE: ANSHUMAN SWAIN M.D.

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	35.093405	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669698544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANSHUMAN SWAIN M.D.

Provider Business Mailing Address
First Line	:	819 STATE ROUTE 664 N STE B
Second Line	:
City	:	LOGAN
State	:	OH
Zip	:	43138-8540
Country	:	US
Telephone Number	:	740-380-8171
Fax Number	:	740-380-8396

Provider Business Practice Location Address
First Line	:	819 STATE ROUTE 664 N STE B
Second Line	:
City	:	LOGAN
State	:	OH
Zip	:	43138-8540
Country	:	US
Telephone Number	:	740-380-8171
Fax Number	:	740-380-8396

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	09/04/2025

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