Provider Demographics
NPI:1033302120
Name:NEEMA, SWARNALATHA (MD)
Entity Type:Individual
Prefix:DR
First Name:SWARNALATHA
Middle Name:
Last Name:NEEMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 WEST CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348
Mailing Address - Country:US
Mailing Address - Phone:610-444-7550
Mailing Address - Fax:610-444-4656
Practice Address - Street 1:731 WEST CYPRESS ST
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348
Practice Address - Country:US
Practice Address - Phone:610-444-7550
Practice Address - Fax:610-444-4656
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08274400207Q00000X
PAMD432727207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25-1716306OtherDEVON
PA25-1716306OtherHEALTHNET/TRICARE
PA1007307260034OtherMEDICAID GROUP #
PA102044544 0002Medicaid
PA102044544 0003Medicaid
PA1033302120OtherHEALTH AMERICA
PAMD432727OtherLICENSE
PA2022530OtherHIGHMARK BLUESHIELD
PA867633OtherMEDICARE GROUP #
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA1033302120OtherFIRST HEALTH
PA2183091OtherMAMSI
PA25-1716306OtherINTERGROUP
PA50092795OtherCAPITAL BLUECROSS
PA25-1716306OtherINFORMED
PA25-1716306OtherMULTIPLAN/PHCS
PAP00851403OtherRAILROAD MEDICARE
PA1566716OtherGATEWAY
PA1566716OtherGATEWAY