Healthcare Provider Details
I. General information
NPI: 1306739875
Provider Name (Legal Business Name): SWARADA YADAV MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/02/2025
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
BRAIN HEALTH USA, 14541 DELANO ST,
VAN NUYS CA
91401
US
IV. Provider business mailing address
BRAIN HEALTH USA, 14541 DELANO ST,
VAN NUYS CA
91401
US
V. Phone/Fax
- Phone: 205-835-6244
- Fax:
- Phone: 205-835-6244
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: