Provider Demographics
NPI:1437441326
Name:KANNEGANTI, SWARNALATHA (MD)
Entity Type:Individual
Prefix:DR
First Name:SWARNALATHA
Middle Name:
Last Name:KANNEGANTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SWARNALATHA
Other - Middle Name:
Other - Last Name:PALLEMPATI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3046
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-0746
Mailing Address - Country:US
Mailing Address - Phone:956-994-2000
Mailing Address - Fax:956-994-2958
Practice Address - Street 1:1900 S D ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1507
Practice Address - Country:US
Practice Address - Phone:956-994-2000
Practice Address - Fax:956-994-2958
Is Sole Proprietor?:No
Enumeration Date:2011-05-10
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9606207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0121569Medicaid
TX8GS621OtherBCBS
TX3714230-01Medicaid
OHH337330Medicare PIN