Healthcare Provider Details

I. General information

NPI: 1952082042
Provider Name (Legal Business Name): NAMITA SWARUP M.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 10/13/2023
Certification Date: 10/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 RIDGE ROAD SUITE 220
PARMA OH
44129
US

IV. Provider business mailing address

5500 RIDGE ROAD SUITE 220
PARMA OH
44129-2394
US

V. Phone/Fax

Practice location:
  • Phone: 440-842-7447
  • Fax: 440-842-7484
Mailing address:
  • Phone: 440-842-7447
  • Fax: 440-842-7484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: NAMITA SWARUP
Title or Position: M.D.
Credential: M.D.
Phone: 440-724-3846