Basic Information
Provider Information
NPI: 1477714244
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EYYUNNI
FirstName: SWATHI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3841 GREEN HILLS VILLAGE DR STE 200
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372152691
CountryCode: US
TelephoneNumber: 6159362000
FaxNumber:  
Practice Location
Address1: 2200 CHILDRENS WAY
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372320005
CountryCode: US
TelephoneNumber: 9043476216
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/24/2008
LastUpdateDate: 03/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XDO2658TNN Allopathic & Osteopathic PhysiciansPediatrics 
207PP0204X2658TNY Allopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine

No ID Information.


Home