Provider Demographics
NPI:1992010136
Name:SWAIKA, ABHISEK (MBBS)
Entity Type:Individual
Prefix:DR
First Name:ABHISEK
Middle Name:
Last Name:SWAIKA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17660 UNION TPKE STE 360
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1531
Mailing Address - Country:US
Mailing Address - Phone:718-312-3442
Mailing Address - Fax:347-225-9930
Practice Address - Street 1:17660 UNION TPKE STE 360
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1531
Practice Address - Country:US
Practice Address - Phone:718-460-2300
Practice Address - Fax:347-225-9930
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME115903207RH0003X
390200000X
NY290157-1207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program