Healthcare Provider Details

I. General information

NPI: 1720603244
Provider Name (Legal Business Name): ANKUR SAH SWARNAKAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date: 01/18/2022
Reactivation Date: 02/03/2022

III. Provider practice location address

136 W ELIZABETH ST STE 201
HARRISONBURG VA
22802-3855
US

IV. Provider business mailing address

136 W ELIZABETH ST STE 201
HARRISONBURG VA
22802-3855
US

V. Phone/Fax

Practice location:
  • Phone: 540-564-5104
  • Fax: 540-433-4053
Mailing address:
  • Phone: 540-564-5104
  • Fax: 540-433-4053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101281285
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: