Provider Demographics
NPI:1720222094
Name:ARSHANAPALLY, SWETHA RAO (MD)
Entity Type:Individual
Prefix:DR
First Name:SWETHA
Middle Name:RAO
Last Name:ARSHANAPALLY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SWETHA
Other - Middle Name:
Other - Last Name:GUJJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 604061
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-4061
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:631 MOCKSVILLE AVE STE 1020
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2731
Practice Address - Country:US
Practice Address - Phone:704-210-7600
Practice Address - Fax:704-210-7601
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-29
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-00573207RH0000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNC0162AMedicare PIN