Provider Demographics
NPI:1063049658
Name:SWAMY, ANAND R (DO)
Entity type:Individual
Prefix:MR
First Name:ANAND
Middle Name:R
Last Name:SWAMY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN INN
Mailing Address - State:SC
Mailing Address - Zip Code:29644-1320
Mailing Address - Country:US
Mailing Address - Phone:864-967-4982
Mailing Address - Fax:888-372-4903
Practice Address - Street 1:910 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FOUNTAIN INN
Practice Address - State:SC
Practice Address - Zip Code:29644-1320
Practice Address - Country:US
Practice Address - Phone:864-967-4982
Practice Address - Fax:888-372-4903
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC83266207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine