Provider Demographics
NPI:1396449260
Name:VARDHAN, SWARNIMA (MD)
Entity type:Individual
Prefix:MRS
First Name:SWARNIMA
Middle Name:
Last Name:VARDHAN
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 1:267 GRANT STREET, YALE NEW HAVEN HEALTH/BRIDGEPORT HOSP
Mailing Address - Street 2:MEDICAL EDUCATION PODIUM 4
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610
Mailing Address - Country:US
Mailing Address - Phone:203-534-6028
Mailing Address - Fax:
Practice Address - Street 1:267 GRANT STREET, YALE NEW HAVEN HEALTH/BRIDGEPORT HOSP
Practice Address - Street 2:MEDICAL EDUCATION PODIUM 4
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610
Practice Address - Country:US
Practice Address - Phone:203-384-4442
Practice Address - Fax:203-384-4680
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program