Healthcare Provider Details

I. General information

NPI: 1710824701
Provider Name (Legal Business Name): SAI SWETHA PAVULURI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ST. MARY MEDICAL CENTER 1201 LANGHORNE- NEWTOWN ROAD
LANGHORNE PA
19047
US

IV. Provider business mailing address

1201 LANGHORNE- NEWTOWN ROAD GRADUATE MEDICAL EDUCATION OFFICE, ST. MARY MEDICAL CENTER
LANGHORNE PA
19047
US

V. Phone/Fax

Practice location:
  • Phone: 215-710-6600
  • Fax:
Mailing address:
  • Phone: 215-710-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: