NPI Code Details Logo

NPI 1508433392

NPI 1508433392 : SAI SWETHA ALLADI MD : CANTON, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1508433392
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SAI SWETHA ALLADI MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/09/2021
-----------------------------------------------------
    Last Update Date     |    06/05/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    PO BOX 80690 
-----------------------------------------------------
    City                 |    CANTON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44708-0690
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    330-363-7444
-----------------------------------------------------
    Fax                  |    330-363-7770
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 80690 
-----------------------------------------------------
    City                 |    CANTON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44708-0690
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    330-363-7444
-----------------------------------------------------
    Fax                  |    330-363-7770
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    R-12158
-----------------------------------------------------
    License Number State |    IA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    APP-000936247
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.