Provider Demographics
NPI:1316383383
Name:SWAMI, JANYA
Entity Type:Individual
Prefix:
First Name:JANYA
Middle Name:
Last Name:SWAMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SANFORD HEALTH SYSTEM 801 BROADWAY N
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58122-0170
Mailing Address - Country:US
Mailing Address - Phone:701-234-5933
Mailing Address - Fax:701-234-7230
Practice Address - Street 1:SANFORD HEALTH SYSTEM 801 BROADWAY N
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58122-0170
Practice Address - Country:US
Practice Address - Phone:701-234-5933
Practice Address - Fax:701-234-7230
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRL 12763207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine