Provider Demographics
NPI:1780023135
Name:SWAIN, SANJAYA KUMAR (MD)
Entity Type:Individual
Prefix:MR
First Name:SANJAYA
Middle Name:KUMAR
Last Name:SWAIN
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 1:1120 NW 14TH STREET SUITE 1560
Mailing Address - Street 2:CLINICAL RESEARCH BUILDING, DEPARTMENT OF UROLOGY
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:305-243-3670
Mailing Address - Fax:
Practice Address - Street 1:1150 PAC CLINIC UNIVERSITY OF MIAMI HOSPITAL
Practice Address - Street 2:ROOM NO 309
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-243-7217
Practice Address - Fax:305-243-2919
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2023-10-12
Deactivation Date:2014-04-03
Deactivation Code:
Reactivation Date:2015-06-04
Provider Licenses
StateLicense IDTaxonomies
FLME132748208800000X
FLMFC1746208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology