Provider Demographics
NPI:1053401281
Name:SWAMI, ANIL U (MD)
Entity type:Individual
Prefix:
First Name:ANIL
Middle Name:U
Last Name:SWAMI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1950 E WATTLES RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-5099
Mailing Address - Country:US
Mailing Address - Phone:248-740-1558
Mailing Address - Fax:248-740-9988
Practice Address - Street 1:1950 E WATTLES RD
Practice Address - Street 2:SUITE 102
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-5099
Practice Address - Country:US
Practice Address - Phone:248-740-1558
Practice Address - Fax:248-740-9988
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MI4301080769207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H28954Medicare UPIN