MEDICARE: SWAPNA GARREPALLI 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	Q7553	TX

General Provider Information

NPI Number	:	1962841809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SWAPNA GARREPALLI MD

Provider Business Mailing Address
First Line	:	9324 SAGE VILLA DR APT 1202
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-1002
Country	:	US
Telephone Number	:	862-290-1555
Fax Number	:

Provider Business Practice Location Address
First Line	:	9324 SAGE VILLA DR APT 1202
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-1002
Country	:	US
Telephone Number	:	862-290-1555
Fax Number	:

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

Provider Enumeration Date	:	06/24/2013
Last Update Date	:	12/30/2016

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Directions to “ SWAPNA GARREPALLI MD” Practice Location

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