Mittadodla, Penchala Swamy
Mittadodla, Penchala Swamy is an individual health care provider with primary practice located at 2708 S Rife Medical Ln Ste 200, Rogers AR 72758-1452. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Mittadodla, Penchala Swamy can be contacted via phone (479) 338-3080.Contact Information
Primary practice address
2708 S Rife Medical Ln Ste 200
Rogers AR 72758-1452
Phone: (479) 338-3080
Fax: (479) 338-3089
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | E-8192 | Arkansas |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | E-8192 | Arkansas |
Profile Details
NPI number | 1720219397 |
---|---|
LBN Legal business name | Mittadodla, Penchala Swamy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 30th, 2009 |
Last updated | Aug 10th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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