Provider Demographics
NPI:1336870534
Name:SARVEPALLI, SWARA MANASA (MD, MS)
Entity type:Individual
Prefix:
First Name:SWARA
Middle Name:MANASA
Last Name:SARVEPALLI
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 MORNING MIST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-7006
Mailing Address - Country:US
Mailing Address - Phone:989-954-4404
Mailing Address - Fax:
Practice Address - Street 1:1160 W MICHIGAN ST
Practice Address - Street 2:ST 212
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202
Practice Address - Country:US
Practice Address - Phone:317-274-2128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-20
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program