Provider Demographics
NPI:1659688588
Name:ARADHYULA, SWAPNA (MD, MRCGP)
Entity Type:Individual
Prefix:DR
First Name:SWAPNA
Middle Name:
Last Name:ARADHYULA
Suffix:
Gender:F
Credentials:MD, MRCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 N ROCKTON AVE
Mailing Address - Street 2:INTERNAL MEDICINE HOSPITALIST SVCS
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61103-3655
Mailing Address - Country:US
Mailing Address - Phone:815-971-5000
Mailing Address - Fax:815-971-9299
Practice Address - Street 1:2400 N ROCKTON AVE
Practice Address - Street 2:RMH INTERNAL MED HOSPITALIST SERVICES
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61103-3655
Practice Address - Country:US
Practice Address - Phone:815-971-5000
Practice Address - Fax:815-971-9299
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036132704207R00000X
IL125057752207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine