Provider Demographics
NPI:1588622021
Name:SWARUP, ANU B (MD)
Entity Type:Individual
Prefix:DR
First Name:ANU
Middle Name:B
Last Name:SWARUP
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2121 E GRIFFIN PKWY
Mailing Address - Street 2:SUITE 10
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3241
Mailing Address - Country:US
Mailing Address - Phone:956-583-7393
Mailing Address - Fax:956-583-7309
Practice Address - Street 1:2121 E GRIFFIN PKWY
Practice Address - Street 2:SUITE 10
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3241
Practice Address - Country:US
Practice Address - Phone:956-583-7393
Practice Address - Fax:956-583-7309
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2014-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM9039207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX199064001Medicaid