Provider Demographics
NPI:1437150612
Name:NATHAN, SWAMI (MD)
Entity Type:Individual
Prefix:DR
First Name:SWAMI
Middle Name:
Last Name:NATHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RAJAGOPALAN
Other - Middle Name:
Other - Last Name:SWAMINATHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4 ALLEGHENY CTR
Mailing Address - Street 2:8TH FL AGH PSYCHIATRIC ASSOCS
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5255
Mailing Address - Country:US
Mailing Address - Phone:412-330-4000
Mailing Address - Fax:412-330-4366
Practice Address - Street 1:4 ALLEGHENY CTR
Practice Address - Street 2:8TH FL AGH PSYCHIATRIC ASSOCS
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-5255
Practice Address - Country:US
Practice Address - Phone:412-330-4000
Practice Address - Fax:412-330-4366
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038817Y2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007797150007Medicaid
WV3810002126Medicaid
OH2315971Medicaid
PA042045NJ6Medicare PIN
PA0007797150007Medicaid