Healthcare Provider Details

I. General information

NPI: 1578945408
Provider Name (Legal Business Name): SWATHY CHANDRASHEKHAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2015
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 4TH ST STE 252
SAN FRANCISCO CA
94158-2324
US

IV. Provider business mailing address

1651 4TH ST STE 252
SAN FRANCISCO CA
94158-2324
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2273
  • Fax: 415-353-2898
Mailing address:
  • Phone: 415-353-2273
  • Fax: 415-353-2898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number31371
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License NumberA193736
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: