Provider Demographics
NPI:1629155064
Name:MUNGEKAR, SWATI HEMANT (MD)
Entity Type:Individual
Prefix:
First Name:SWATI
Middle Name:HEMANT
Last Name:MUNGEKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15899 LOS GATOS ALMADEN RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-3739
Mailing Address - Country:US
Mailing Address - Phone:408-358-3685
Mailing Address - Fax:408-358-3645
Practice Address - Street 1:15899 LOS GATOS ALMADEN RD
Practice Address - Street 2:SUITE 9
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-3739
Practice Address - Country:US
Practice Address - Phone:408-358-3685
Practice Address - Fax:408-358-3645
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA92804207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA92804OtherMEDICAL LICENSE