Provider Demographics
NPI:1720603244
Name:SAH SWARNAKAR, ANKUR (MD)
Entity type:Individual
Prefix:
First Name:ANKUR
Middle Name:
Last Name:SAH SWARNAKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 W ELIZABETH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-3855
Mailing Address - Country:US
Mailing Address - Phone:540-564-5104
Mailing Address - Fax:540-433-4053
Practice Address - Street 1:136 W ELIZABETH ST STE 201
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802-3855
Practice Address - Country:US
Practice Address - Phone:540-564-5104
Practice Address - Fax:540-433-4053
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-10
Last Update Date:2024-08-12
Deactivation Date:2022-01-18
Deactivation Code:
Reactivation Date:2022-02-03
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA01012812852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program