Provider Demographics
NPI:1477500122
Name:GAUR, SWATI (MD)
Entity Type:Individual
Prefix:DR
First Name:SWATI
Middle Name:
Last Name:GAUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SWATI
Other - Middle Name:
Other - Last Name:SHUKLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 742616
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-2616
Mailing Address - Country:US
Mailing Address - Phone:770-219-8420
Mailing Address - Fax:
Practice Address - Street 1:2020 BEVERLY RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-2037
Practice Address - Country:US
Practice Address - Phone:706-660-8505
Practice Address - Fax:706-660-9390
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057624207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine