Swapna Abhyankar, M.D.

Individual provider Active NPI Specialist · Laurel, MD

NPI 1477533230 · NPPES record last updated Sep 14, 2011

Key facts

NPI
1477533230
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
D0062820 (MD)
Practice address
9811 Mallard Dr
Suite 109
Laurel, MD 20708-3143
Phone
(301) 776-8000
Fax
(301) 776-8052
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD034579DCMDSpecialist
D0062820MDMDSpecialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0062820 MD Yes
Specialist 174400000X MD034579 DC

Addresses

Primary practice location

9811 Mallard Dr
Suite 109
Laurel, MD 20708-3143

Mailing address

9811 Mallard Dr
Suite 109
Laurel, MD 20708-3143
Phone (301) 776-8000

Other providers in Laurel, MD

All providers in Laurel, MD · Specialist in Maryland

Sources for this page

Verify at the official NPI Registry.