Healthcare Provider Details

I. General information

NPI: 1497119085
Provider Name (Legal Business Name): SWATHI BINDU ANCHE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2016
Last Update Date: 02/05/2021
Certification Date: 02/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11640 NORTHPARK DR
WAKE FOREST NC
27587-5736
US

IV. Provider business mailing address

2920 HIGHWOODS BLVD
RALEIGH NC
27604-0010
US

V. Phone/Fax

Practice location:
  • Phone: 919-235-6540
  • Fax: 919-235-6504
Mailing address:
  • Phone: 877-498-4490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2019-02059
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: