MEDICARE: DR. SWAPNA REDDY NARRA MBBS, 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	A112773	CA

General Provider Information

NPI Number	:	1538391271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SWAPNA REDDY NARRA MBBS, MD

Provider Business Mailing Address
First Line	:	7370 N PALM AVE STE 101
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-5782
Country	:	US
Telephone Number	:	592-228-4222
Fax Number	:	559-228-4299

Provider Business Practice Location Address
First Line	:	7370 N PALM AVE STE 101
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-5782
Country	:	US
Telephone Number	:	559-228-4222
Fax Number	:

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

Provider Enumeration Date	:	08/13/2009
Last Update Date	:	04/30/2019

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