Individual ProviderShailendra SwarupNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316(866) 384-8110PECOS EnrollmentBased on the most recent information from CMS, provider Shailendra Swarup does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:04 AM.Profile DetailsProvider ID1740971761Provider TypeIndividualFull NameSwarup, ShailendraTitleMr.CredentialCRNP-PMHGenderMaleSole ProprietorYesEnumeration Date5/19/2023Last Updated5/19/2023Contact InformationPractice LocationPractice Address4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316Phone(866) 384-8110Fax(301) 560-8244Mailing LocationMailing Address4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316Phone(866) 384-8110Fax(301) 560-8244Provider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR193356MarylandCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseR193356MarylandCode2084P0805XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseR193356MarylandProvider IdentifiersIDDescriptionIssuerIDR193356DescriptionOtherIssuerCRNPMaryland