Individual
SAVITHA SHIVANANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 MACE AVE, BALTIMORE, MD 21221-3315
(410) 391-6996
(410) 687-6877
Mailing address
1124 MACE AVE, BALTIMORE, MD 21221-3315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D52379
MD
Other
Enumeration date
07/30/2006
Last updated
12/18/2007
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