NPI 1114235124 · live from the CMS NPI Registry
Swaroop Pendyala, M.D.,
Internal Medicine, Gastroenterology in Carson City, NV. National Provider Identifier 1114235124, active.
NPI record
| NPI | 1114235124 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 1385 Vista Ln, Carson City, NV 89703 |
| Practice phone | 775-884-4567 |
| Enumerated | September 24, 2010 |
| Last updated | September 26, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Internal Medicine, Gastroenterology primary | 207RG0100X | 14292 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.