Provider Demographics
NPI:1902004005
Name:BARTAKKE, SWAROOPA VITTALMURTHY (MD)
Entity Type:Individual
Prefix:DR
First Name:SWAROOPA
Middle Name:VITTALMURTHY
Last Name:BARTAKKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 MILL POND CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069
Mailing Address - Country:US
Mailing Address - Phone:615-545-9497
Mailing Address - Fax:
Practice Address - Street 1:300 20TH AVENUE NORTH
Practice Address - Street 2:9TH FLOOR
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203
Practice Address - Country:US
Practice Address - Phone:615-284-1450
Practice Address - Fax:615-284-1348
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41383207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO137300005Medicare PIN