Organization
SAVITHA SHIVANANDA ,M.D.,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVITHA SHIVANANDA (PHYSICIAN)
(410) 391-6996
Entity
Organization
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
(410) 391-6996
(410) 687-6877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0052379
MD
Other
Enumeration date
12/18/2007
Last updated
10/27/2010
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