Provider Demographics
NPI:1679765887
Name:VANGURI, SWATHI S (MD)
Entity Type:Individual
Prefix:DR
First Name:SWATHI
Middle Name:S
Last Name:VANGURI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:196 W SPROUL RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2045
Mailing Address - Country:US
Mailing Address - Phone:302-477-9660
Mailing Address - Fax:302-477-9495
Practice Address - Street 1:2106 SILVERSIDE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4162
Practice Address - Country:US
Practice Address - Phone:302-477-9660
Practice Address - Fax:302-477-9495
Is Sole Proprietor?:No
Enumeration Date:2007-08-11
Last Update Date:2014-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0008467207V00000X
PAMD427983207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology