MEDICARE: SWARNIM KEYURBHAI RATHOD MBBS

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1801731948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SWARNIM KEYURBHAI RATHOD MBBS

Provider Business Mailing Address
First Line	:	9225 UNIVERSITY BLVD
Second Line	:	TRIDENT EXECUTIVE VILLAGE, SUITE E2B
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406
Country	:	US
Telephone Number	:	843-847-5624
Fax Number	:

Provider Business Practice Location Address
First Line	:	9225 UNIVERSITY BLVD
Second Line	:	TRIDENT EXECUTIVE VILLAGE, SUITE E2B
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406
Country	:	US
Telephone Number	:	843-847-5624
Fax Number	:

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

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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