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General NPI Number Information
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NPI Number | 1477614121
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Entity Type | Individual
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Provider Name | SWAPNA S VAIDYA M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 09/04/2023
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Provider Practice Location Address
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Address Line | 6022 CALIFORNIA AVE SW
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City | SEATTLE
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State | WA
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Zip | 98136-1613
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Country | US
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Telephone | 646-573-2581
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Fax | 646-601-6398
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Provider Business Mailing Address
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Address Line | 6022 CALIFORNIA AVE SW
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City | SEATTLE
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State | WA
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Zip | 98136-1613
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Country | US
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Telephone | 646-573-2581
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Fax | 646-601-6398
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 232895
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD60587696
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License Number State | WA
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