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NPI Code Detail

MEDICARE: DR. JYOTHI SWARUP M.D.,

MEDICARE: DR. JYOTHI SWARUP 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
12080N0001XNeonatal-Perinatal Medicine PhysicianK1691TX

General Provider Information

NPI Number : 1639131717
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JYOTHI SWARUP M.D.,
Provider Business Mailing Address
First Line : 5913 PATTON ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-2429
Country : US
Telephone Number : 361-653-6361
Fax Number : 361-653-6371
Provider Business Practice Location Address
First Line : 5913 PATTON ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-2429
Country : US
Telephone Number : 361-653-6361
Fax Number : 361-653-6371
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 02/21/2014

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