SUPREEYA SWARUP (NPI# 1750679916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750679916 |
| Entity Type | Individual |
| Full Name | SUPREEYA SWARUP |
| Credential | D.O. |
| Practice Address |
6005 Park Ave Ste 500b Memphis TN 38119-5215 |
| Mailing Address |
425 Newbridge Rd Apt 11 East Meadow NY 11554-4122 |
| Practice Telephone | 9016836925 |
| Practice Fax Number | 9016841435 |
| Mailing Telephone | 2095182441 |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
3723 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2201 Hempstead Tpke, Numc Department of Medicine, East Meadow, NY 115541859 | 5165720159 | |
| 2996 Kate Bond Rd Ste 305, Bartlett, TN 381334063 | 9013002971 | 9013848988 |
| 9947 Wolf River Blvd Ste 110, Germantown, TN 381395559 | 9013414985 | 9016467348 |
| Street Address |
6005 PARK AVE STE 500B |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538391446 | Indranill Basu Ray | Internal Medicine | 6005 Park Ave Ste 500b, Memphis, TN 38119 | 2009-08-12 |
| 1033635297 | Alyssa Dean Fultz | Physician Assistant | 6005 Park Ave Ste 500b, Memphis, TN 38119-5215 | 2017-08-19 |
| 1720390578 | Ritin Bomb | Internal Medicine | 6005 Park Ave Ste 500b, Memphis, TN 38119-5215 | 2010-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073085189 | Heart Center Usa Incorporated | Internal Medicine | 6500 Kirby Gate Blvd, Memphis, TN 38119-2673 | 2018-12-31 |
| 1750630794 | David Marc Mirvis | Internal Medicine | 5676 Redding Ave, Memphis, TN 38120-1848 | 2012-09-06 |
| 1255607164 | Dmitry M Yaranov | Internal Medicine | 6025 Walnut Grove Rd Ste 111, Memphis, TN 38120-2102 | 2012-03-25 |
| 1699908038 | Roger Jones Cunningham | Internal Medicine | 203 E Parkway S, Memphis, TN 38104-4341 | 2009-09-02 |
| 1699948281 | Adedayo Ademola Adeboye | Internal Medicine | 1030 Jefferson Ave, Vamc, Medical Service-cardiology, Memphis, TN 38104 | 2008-04-04 |
| 1881890614 | D Bruce Wilson Md, PC | Internal Medicine | 188 S Bellevue Blvd, #405, Memphis, TN 38104-3416 | 2007-06-27 |
| 1629281712 | Saxton Heart Clinic PC | Internal Medicine | 6055 Primacy Pkwy Ste 125, Memphis, TN 38119-5701 | 2007-05-07 |
| 1417001223 | David L. Simmons, Md, PC - Cardiovascular Services | Internal Medicine | 202 Greenbriar Dr, Memphis, TN 38117-3237 | 2007-01-22 |
| 1720187040 | Jesse E Mcgee | Internal Medicine | 4567 Millbranch Road, Memphis, TN 38116 | 2006-09-22 |
| 1326156100 | Stewart Lewis Nunn | Internal Medicine | 706 Cypress Dr, Memphis, TN 38112-1738 | 2006-08-29 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.