Provider Demographics
NPI:1134272255
Name:SWAMY, PRIYA (DO)
Entity type:Individual
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First Name:PRIYA
Middle Name:
Last Name:SWAMY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1450 TREAT BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4165 BLACKHAWK PLAZA CIRCLE
Practice Address - Street 2:STE 265
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94506-4691
Practice Address - Country:US
Practice Address - Phone:925-648-7144
Practice Address - Fax:925-648-0878
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2016-11-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A10941207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACS710ZMedicare PIN