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General NPI Number Information
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NPI Number | 1811316052
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Entity Type | Individual
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Provider Name | SWATHI GOPISHETTY M.D
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Gender | Female
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 3577 W 13 MILE RD STE 202
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City | ROYAL OAK
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State | MI
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Zip | 48073-6710
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Country | US
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Telephone | 248-898-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 W 13 MILE RD STE 202
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City | ROYAL OAK
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State | MI
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Zip | 48073-6712
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Country | US
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Telephone | 248-898-5000
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 4351051620
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | TMD004917
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 77485
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License Number State | GA
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