Healthcare Provider Details
I. General information
NPI: 1427377431
Provider Name (Legal Business Name): UMA G SWAMY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/01/2010
Last Update Date: 11/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7257 N FRESNO ST
FRESNO CA
93720-2950
US
IV. Provider business mailing address
7257 N FRESNO ST
FRESNO CA
93720-2950
US
V. Phone/Fax
- Phone: 559-457-4050
- Fax: 559-459-2549
- Phone: 559-457-4050
- Fax: 559-459-2549
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | ME106695 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | A96498 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: