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Contact Information

SWAROOP PENDYALA, MD
1385 VISTA LN
CARSON CITY, NV89703-4643
 Phone: 775-884-4567
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SWAROOP PENDYALA · (Male)

NPI # 1114235124
Status Active
Credentials MD
Entity Individual
Enumeration date 09/24/2010
Last updated 09/26/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 14292
Hospital affiliation(s)
  • CARSON TAHOE REGIONAL MEDICAL CENTER - (Acute Care)
    1600 MEDICAL PARKWAY
    CARSON CITY, NV 89703
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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