Healthcare Provider Details

I. General information

NPI: 1336348978
Provider Name (Legal Business Name): SWETHA NATARAJ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 06/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 PRESIDENT AVE RM 304
FALL RIVER MA
02720-5923
US

IV. Provider business mailing address

1030 PRESIDENT AVE RM 304
FALL RIVER MA
02720-5923
US

V. Phone/Fax

Practice location:
  • Phone: 508-235-6427
  • Fax: 508-235-6654
Mailing address:
  • Phone: 508-235-6427
  • Fax: 508-235-6654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number247063
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: