Healthcare Provider Details

I. General information

NPI: 1801100367
Provider Name (Legal Business Name): SWAPNIL S BAGADE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 ASYLUM AVE SUITE 3201E
HARTFORD CT
06105-1770
US

IV. Provider business mailing address

263 FARMINGTON AVE
FARMINGTON CT
06030-2803
US

V. Phone/Fax

Practice location:
  • Phone: 203-714-2724
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number4692
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License Number201101547
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number54172
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: