Provider Demographics
NPI:1104480656
Name:UMAPATHY, SWARNALAXMI (MD)
Entity type:Individual
Prefix:
First Name:SWARNALAXMI
Middle Name:
Last Name:UMAPATHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 S YALE AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3331
Mailing Address - Country:US
Mailing Address - Phone:888-247-0125
Mailing Address - Fax:918-502-8210
Practice Address - Street 1:6465 S YALE AVE STE 804
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7810
Practice Address - Country:US
Practice Address - Phone:918-502-3550
Practice Address - Fax:918-502-3555
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2024-07-03
Deactivation Date:2019-12-16
Deactivation Code:
Reactivation Date:2020-03-20
Provider Licenses
StateLicense IDTaxonomies
OK42999207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology