MEDICARE: DR. MAHESH SWAMINATHAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	236055	NY
2	207R00000X	Internal Medicine Physician	067326	GA
3	207RI0200X	Infectious Disease Physician	236055	NY
4	207RI0200X	Infectious Disease Physician	067326	GA

General Provider Information

NPI Number	:	1043241128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAHESH SWAMINATHAN M.D.

Provider Business Mailing Address
First Line	:	1600 CLIFTON ROAD NE
Second Line	:	MS E-30
City	:	ATLANTA
State	:	GA
Zip	:	30333
Country	:	US
Telephone Number	:	267-421-4824
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 CLIFTON RD NE
Second Line	:	MS E-30
City	:	ATLANTA
State	:	GA
Zip	:	30329-4018
Country	:	US
Telephone Number	:	267-421-4824
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	07/10/2012

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