DR. SWATHI MUTHYAM MOGULLA (NPI# 1831682269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831682269 |
| Entity Type | Individual |
| Full Name | DR. SWATHI MUTHYAM MOGULLA |
| Credential | M.D. |
| Practice Address |
St Joseph Mercy Oakland 44405 Woodward Avenue Pontiac MI 48361 |
| Mailing Address |
St Joseph Mercy Oakland 44405 Woodward Avenue Pontiac MI 48341 |
| Practice Telephone | 2488586233 |
| Practice Fax Number | 2488583244 |
| Mailing Telephone | 2488586233 |
| Mailing Fax Number | 2488583244 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
ST JOSEPH MERCY OAKLAND 44405 WOODWARD AVENUE |
| City | PONTIAC |
| State | MI |
| Zip Code | 48361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902989320 | Loren Mark Brett | Chiropractor | 857 N Lapeer Rd, Lake Orion, MI 48361 | 2006-10-21 |
| 1841221108 | Jimmy Brandon | Emergency Medicine | 4555 Giddings Road / Mail Code 483-900-006, General Motors Health Services / Lake Orion Assembly, Lake Orion, MI 48361-8037 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1275131112 | Kimberly Ann Walker | Adult Companion | 452 Bay St, Pontiac, MI 48342-1912 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1073120929 | A Caring Hands Home Care LLC | Home Health | 713 Desota Pl, Pontiac, MI 48342-1620 | 2020-09-24 |
| 1063028363 | Ashley Nichole Frizzell | Social Worker | 310 E Howard St, Pontiac, IL 61764-2033 | 2020-09-22 |
| 1528670254 | Myeya Jernagin | Home Health Aide | 53 1/2 W Huron St Ste 221, Pontiac, MI 48342-2121 | 2020-08-24 |
| 1508478579 | Oakland Integrated Healthcare Network | Clinic/Center | 1200 N Telegraph Rd Bldg 34, Pontiac, MI 48341-1032 | 2020-08-20 |
| 1558988733 | Neidra P Dowe | Home Health | 308 Raeburn St, Pontiac, MI 48341-3050 | 2020-07-03 |
| Find all providers in PONTIAC | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1245850064 | Alexandra Lenox | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave Dept H-90, Pontiac, MI 48341-5023 | 2020-04-22 |
| 1568081800 | Jean-yves Reshad Nazroo | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Medical Education H-23, Pontiac, MI 48341-2985 | 2020-04-15 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| 1518496942 | Boris Tkach | Student in an Organized Health Care Education/Training Program | 50 N. Perry, Pontiac, MI 48342 | 2017-06-08 |
| 1023547429 | Nicholas James Stepanski | Student in an Organized Health Care Education/Training Program | 50 N. Perry St., Pontiac, MI 48342 | 2017-06-08 |
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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.