Provider Demographics
NPI:1629931118
Name:SWAMI, RAVI S
Entity type:Individual
Prefix:DR
First Name:RAVI
Middle Name:S
Last Name:SWAMI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 WESTBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-5157
Mailing Address - Country:US
Mailing Address - Phone:407-588-7839
Mailing Address - Fax:
Practice Address - Street 1:2250 WESTBOURNE DR
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-5157
Practice Address - Country:US
Practice Address - Phone:407-588-7839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty