MEDICARE: R SWAMY VENUTURUPALLI 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	207RR0500X	Rheumatology Physician	A69893	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A698930	OTHER	CA	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063437648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	R SWAMY VENUTURUPALLI M.D.

Provider Business Mailing Address
First Line	:	8750 WILSHIRE BLVD
Second Line	:	SUITE 350
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2703
Country	:	US
Telephone Number	:	310-652-6010
Fax Number	:	310-652-6056

Provider Business Practice Location Address
First Line	:	8750 WILSHIRE BLVD
Second Line	:	SUITE 350
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2703
Country	:	US
Telephone Number	:	310-652-0010
Fax Number	:	310-652-6056

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	02/13/2017

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