SWAROOP N NYSHADHAM MD – NPI #1265600977
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

SWAROOP N NYSHADHAM MD is a provider located in VALLEY, AL. NPPES has assigned the NPI number 1265600977 to SWAROOP N NYSHADHAM MD on February 15, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 10 years ago on Feb 11, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SWAROOP N NYSHADHAM MD below.

NPI Profile for
SWAROOP N NYSHADHAM MD

NPI Number
1265600977
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SWAROOP N NYSHADHAM MD
Primary location
4503 20TH AVE
VALLEY, AL 36854
Phone: (334) 756-8190 Fax: (334) 756-5158
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUSAN WOOD
OFFICE MANAGER
Phone: (334) 756-8190
Updated
Identifiers

Identifiers for SWAROOP N NYSHADHAM MD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSSAL51082972
OTHERBLUE CROSSAL51514838
OTHERBLUE CROSSAL51532898
OTHERMCAIDAL009937179
OTHERMCAREGA02BDCHN01
MEDICAIDAL009937179
MEDICAIDAL529928300
MEDICAIDAL000082972
MEDICAIDAL000338357B
MEDICAIDGA000338357F
MEDICAIDGA300041350A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
AL 013121
208600000X
- Surgery
AL 013121

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.