Healthcare Provider Details

I. General information

NPI: 1043732142
Provider Name (Legal Business Name): SWIKRITY UPADHYAY BASKOTA MBBS,MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 STOCKTON BLVD
SACRAMENTO CA
95817-2201
US

IV. Provider business mailing address

515 S AIKEN AVE APT 716
PITTSBURGH PA
15232-1524
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-1319
  • Fax:
Mailing address:
  • Phone: 412-760-9455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number192028
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number311080
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number89110152
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: