MEDICARE: SWETHA KOTAMRAJU 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	208000000X	Pediatrics Physician	W0943	TX
2	2080P0206X	Pediatric Gastroenterology Physician	W0943	TX

General Provider Information

NPI Number	:	1518420637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SWETHA KOTAMRAJU MD

Provider Business Mailing Address
First Line	:	6905 CROSBY CIR APT 9
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-6170
Country	:	US
Telephone Number	:	512-968-5179
Fax Number	:

Provider Business Practice Location Address
First Line	:	1935 MEDICAL DISTRICT DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-7701
Country	:	US
Telephone Number	:	844-456-7000
Fax Number	:

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

Provider Enumeration Date	:	04/08/2019
Last Update Date	:	12/02/2025

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