Search › California › 1223P0300X
Logesh Swayamprakasam
NPI 1215262225 · on the registry since 2009
Practice
- Address
- 1761 E Capitol Expy
San Jose, CA 95121 - Phone
- (408) 484-3891
- Organisation at this address
- Shah Jolly Dds Dental Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Also registered as
- 1223P0300X
- Licence states on file
- OH, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California