Healthcare Provider Details

I. General information

NPI: 1730018409
Provider Name (Legal Business Name): SWETHA SABBINENI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7111 GEORGE WASHINGTON MEMORIAL HWY
GLOUCESTER VA
23061-5198
US

IV. Provider business mailing address

42266 GRAHAMS STABLE SQ
ASHBURN VA
20148-5743
US

V. Phone/Fax

Practice location:
  • Phone: 804-210-3368
  • Fax:
Mailing address:
  • Phone: 317-517-5970
  • 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: