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SWAROOP N NYSHADHAM MD NPI 1265600977


NPI Information

NPI: 1265600977
Provider Name: SWAROOP N NYSHADHAM MD
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4503 20TH AVE
VALLEY, AL
ZIP 36854
Phone: (334) 756-8190
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SWAROOP N NYSHADHAM MD is a general practice in Valley, AL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SWAROOP N NYSHADHAM MD NPI is 1265600977. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4503 20TH AVE
VALLEY, AL
ZIP 36854
Phone: (334) 756-8190
Fax: (334) 756-5158

The provider's authorized official is Susan H Wood .
The authorized official title is Office Manager and has the following contact phone number (334) 756-8190.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 2/11/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery013121ALABAMANo
2208600000XSurgery031483GEORGIANo
3208600000XSurgeryME49553FLORIDANo
4208D00000XGeneral Practice031483GEORGIANo
5208D00000XGeneral PracticeME49553FLORIDANo
6208D00000XGeneral Practice013121ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
151082972OTHERALABAMABLUE CROSS
2009937179OTHERALABAMAMCAID
3000082972MEDICARE PINALABAMA
451514838OTHERALABAMABLUE CROSS
502BDCHN01OTHERGEORGIAMCARE
6009937179MEDICAIDALABAMA
7000338357BMEDICAIDALABAMA
8000338357FMEDICAIDGEORGIA
9529928300MEDICAIDALABAMA
1002BDCHN01MEDICARE PINGEORGIA
11C70924MEDICARE UPIN
12000082972MEDICAIDALABAMA
1351532898OTHERALABAMABLUE CROSS
14300041350AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.