Provider Demographics
NPI:1942441373
Name:SWAMI, SUNIL SARAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:SARAN
Last Name:SWAMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:24585 STONE CARVER DR
Mailing Address - Street 2:STE 100
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-2798
Mailing Address - Country:US
Mailing Address - Phone:703-542-8884
Mailing Address - Fax:571-367-4833
Practice Address - Street 1:24585 STONE CARVER DR STE 100
Practice Address - Street 2:
Practice Address - City:ALDIE
Practice Address - State:VA
Practice Address - Zip Code:20105-2798
Practice Address - Country:US
Practice Address - Phone:703-542-8884
Practice Address - Fax:202-403-0508
Is Sole Proprietor?:No
Enumeration Date:2009-03-15
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RILP01297207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine