Provider Demographics
NPI:1740291319
Name:AVASHIA, SWATI (MD)
Entity type:Individual
Prefix:DR
First Name:SWATI
Middle Name:
Last Name:AVASHIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 RED RIVER ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1943
Mailing Address - Country:US
Mailing Address - Phone:512-324-7318
Mailing Address - Fax:512-324-8616
Practice Address - Street 1:1313 RED RIV STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-1923
Practice Address - Country:US
Practice Address - Phone:512-324-8600
Practice Address - Fax:512-324-8616
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8607207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX181219002Medicaid
TX181219003Medicaid
TX181219004Medicaid
TX181219004Medicaid
TX334268YMGJMedicare PIN
TX8L21343Medicare PIN