Provider Demographics
NPI:1215943584
Name:JADHAV, SWATI P (MD)
Entity type:Individual
Prefix:
First Name:SWATI
Middle Name:P
Last Name:JADHAV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4515 SETON CENTER PKWY STE 215
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5785
Mailing Address - Country:US
Mailing Address - Phone:512-231-5506
Mailing Address - Fax:512-406-6216
Practice Address - Street 1:940 HESTERS CROSSING
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-8018
Practice Address - Country:US
Practice Address - Phone:512-244-9024
Practice Address - Fax:512-218-3704
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2017-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL1082207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080184205Medicaid
TX150436702Medicaid
TX150436701Medicaid
TX150436702Medicaid
TX150436701Medicaid
TX080184200Medicare PIN