Provider Demographics
NPI:1881947026
Name:ADITI SWAMI PA
Entity type:Organization
Organization Name:ADITI SWAMI PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADITI
Authorized Official - Middle Name:
Authorized Official - Last Name:SWAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-655-9750
Mailing Address - Street 1:PO BOX 468
Mailing Address - Street 2:
Mailing Address - City:SHANNON
Mailing Address - State:AL
Mailing Address - Zip Code:35142-0468
Mailing Address - Country:US
Mailing Address - Phone:888-212-4243
Mailing Address - Fax:
Practice Address - Street 1:2600 N US HIGHWAY 75
Practice Address - Street 2:SUITE 120
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-0500
Practice Address - Country:US
Practice Address - Phone:903-416-6385
Practice Address - Fax:903-416-1737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6701207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty