Provider Demographics
NPI:1386670032
Name:SWAIN, SANDRA META (MD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:META
Last Name:SWAIN
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 1:9520 EAGLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-3917
Mailing Address - Country:US
Mailing Address - Phone:301-365-9206
Mailing Address - Fax:
Practice Address - Street 1:8901 WISCONSIN AVE BLDG 8 ROOM 5101
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-435-5416
Practice Address - Fax:301-496-0047
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD-29517207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology