MEDICARE: SWARNA MANIAN MD

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	0101233323	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	541595397	OTHER	VA	TRICARE
3	541595397	OTHER	VA	MID ATLANTIC SOLUTIONS
4	96721	OTHER	VA	SENTARA/OPTIMA
5	181735	OTHER	VA	ANTHEM
6	7214395	OTHER	VA	AETNA

General Provider Information

NPI Number	:	1467426627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SWARNA MANIAN MD

Provider Business Mailing Address
First Line	:	3241 WESTERN BRANCH BLVD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-5260
Country	:	US
Telephone Number	:	757-686-3508
Fax Number	:	757-686-0541

Provider Business Practice Location Address
First Line	:	1168 FIRST COLONIAL RD
Second Line	:	SUITE 201
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2426
Country	:	US
Telephone Number	:	757-481-1113
Fax Number	:	757-496-3822

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

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	05/17/2021

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Directions to “ SWARNA MANIAN MD” Practice Location

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