Provider Demographics
NPI:1952082042
Name:NAMITA SWARUP M.D., LLC
Entity Type:Organization
Organization Name:NAMITA SWARUP M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:NAMITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARUP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-724-3846
Mailing Address - Street 1:5500 RIDGE ROAD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-2394
Mailing Address - Country:US
Mailing Address - Phone:440-842-7447
Mailing Address - Fax:440-842-7484
Practice Address - Street 1:5500 RIDGE ROAD
Practice Address - Street 2:SUITE 220
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129
Practice Address - Country:US
Practice Address - Phone:440-842-7447
Practice Address - Fax:440-842-7484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2376914Medicaid