Provider Demographics
NPI:1477660348
Name:BAYYA, SWATHI (M D)
Entity Type:Individual
Prefix:DR
First Name:SWATHI
Middle Name:
Last Name:BAYYA
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12221 MERIT DRIVE
Mailing Address - Street 2:SUITE 910
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251
Mailing Address - Country:US
Mailing Address - Phone:469-374-3850
Mailing Address - Fax:469-374-3851
Practice Address - Street 1:12221 MERIT DRIVE
Practice Address - Street 2:SUITE 910
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251
Practice Address - Country:US
Practice Address - Phone:469-374-3850
Practice Address - Fax:469-374-3851
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9619207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176472202Medicaid
TX176472202Medicaid
TXI16945Medicare UPIN