Healthcare Provider Details

I. General information

NPI: 1467653675
Provider Name (Legal Business Name): JAYA SWAMI-KAMBOJ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAYA SWAMI M.D.

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 01/08/2022
Certification Date: 01/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 FRANKLIN SQUARE DR
BALTIMORE MD
21237-3901
US

IV. Provider business mailing address

9000 FRANKLIN SQUARE DR
BALTIMORE MD
21237-3901
US

V. Phone/Fax

Practice location:
  • Phone: 443-777-7180
  • Fax:
Mailing address:
  • Phone: 443-777-7180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD76667
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberD76667
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: