Provider Demographics
NPI:1639143290
Name:SWAMY, KUMAR N (MD)
Entity Type:Individual
Prefix:
First Name:KUMAR
Middle Name:N
Last Name:SWAMY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 METROHEALTH DR
Mailing Address - Street 2:DEPT.OF PEDIATRICS ROOM# G 470B
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-1900
Mailing Address - Country:US
Mailing Address - Phone:216-778-2213
Mailing Address - Fax:216-778-2857
Practice Address - Street 1:5065 OBERLIN AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-3431
Practice Address - Country:US
Practice Address - Phone:440-282-2146
Practice Address - Fax:440-282-1138
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35046087207K00000X, 2080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0483007Medicaid
OH9267231Medicare ID - Type Unspecified
OHC02103Medicare UPIN