Healthcare Provider Details

I. General information

NPI: 1932686011
Provider Name (Legal Business Name): SWETHA YADAV MUSTY MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2018
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE GA
30120-2129
US

IV. Provider business mailing address

MAIMONIDES MEDICAL CENTER 4802 10TH AVENUE
BROOKLYN NY
11219
US

V. Phone/Fax

Practice location:
  • Phone: 470-490-2142
  • Fax:
Mailing address:
  • Phone: 718-283-8997
  • Fax: 718-283-8498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number98043
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number98043
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: