Individual ProviderSwetha PathiFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address903 W Martin St # Ms 49-2, San Antonio, TX 78207-0903(201) 358-8145(210) 358-9172PECOS EnrollmentBased on the most recent information from CMS, provider Swetha Pathi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1366700601Provider TypeIndividualFull NamePathi, SwethaGenderFemaleSole ProprietorNoEnumeration Date4/24/2012Last Updated5/21/2024Contact InformationPractice LocationPractice Address903 W Martin St # Ms 49-2, San Antonio, TX 78207-0903Phone(201) 358-8145FaxUnlisted FaxMailing LocationMailing AddressPO Box 87, San Antonio, TX 78291-0087Phone(210) 358-9172Fax(210) 358-9183Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseQ5063Texas