Provider Demographics
NPI:1902826514
Name:LOKESH, SWARNAMBA NARASIMAIAH (MD)
Entity Type:Individual
Prefix:DR
First Name:SWARNAMBA
Middle Name:NARASIMAIAH
Last Name:LOKESH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3893 MULLENHURST DR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-3664
Mailing Address - Country:US
Mailing Address - Phone:727-934-1564
Mailing Address - Fax:
Practice Address - Street 1:35209 US HIGHWAY 19 N
Practice Address - Street 2:1721, MAIN STREET
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1908
Practice Address - Country:US
Practice Address - Phone:727-734-5276
Practice Address - Fax:727-734-5914
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME76747207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine