Swetha Annam
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Tulare, CA
NPI 1093560427 · NPPES record last updated Apr 19, 2024
Key facts
- NPI
- 1093560427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 849 N. Cherry St.
Tulare, CA 93274 - Phone
- (559) 688-0821
- NPI assigned
- Apr 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241202001347 | CA | Order and Referring Only - Internal Medicine |
4284169145 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
849 N. Cherry St.
Tulare, CA 93274
Mailing address
586 W Fargo Ave Apt C
Hanford, CA 93230-7181
Phone (469) 753-6896
Other providers in Tulare, CA
- Jocelyne Ambriz
- Amdal in-Home Care, Inc.
- Angelica Amlie
- Beronica Analco
- Monique Anaya
- Amira Aoude
- Yeraldine Arciga Gomez
- Celeste Arellano
- Janet Arellano
- Aria Community Health Center
All providers in Tulare, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.