| Doctor Name: | SWAPNA MANTHENA |
| NPI Number: | 1225365208 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 57-016811 |
| Business Practice Address: | 901 Crystal Falls Pkwy Suite 150 Leander, TX - 786411922 |
| Business Phone Number: | 5122592198 |
| Business Fax Number: | |
| Mailing Address: | 4515 Seton Center Parkway, Suite 215-credentialing AUSTIN |
| State: | TX |
| Postal Code: | 787595785 |
| Phone Number: | 5122315548 |
| Fax Number: | 5124066216 |
| NPI Enumeration Date: | 11/11/2009 |
| NPI Last Update Date: | 03/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 57-016811 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |