Provider Demographics
NPI:1720603244
Name:SAH SWARNAKAR, ANKUR (MD)
Entity Type:Individual
Prefix:
First Name:ANKUR
Middle Name:
Last Name:SAH SWARNAKAR
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 1:1100 ALABAMA AVE SOUTHEAST
Mailing Address - Street 2:2ND FLOOR, SUITE 238
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032
Mailing Address - Country:US
Mailing Address - Phone:202-299-5334
Mailing Address - Fax:202-561-6953
Practice Address - Street 1:1100 ALABAMA AVE SOUTHEAST
Practice Address - Street 2:2ND FLOOR, SUITE 238
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032
Practice Address - Country:US
Practice Address - Phone:202-299-5334
Practice Address - Fax:202-561-6953
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-10
Last Update Date:2022-02-03
Deactivation Date:2022-01-18
Deactivation Code:
Reactivation Date:2022-02-03
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program