Individual
DR. JESSIE KUMUDINIDEVI SAVERIMUTTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
398 GOWER ST, STATEN ISLAND, NY 10314-5333
(646) 417-0747
(718) 865-5134
Mailing address
398 GOWER ST, STATEN ISLAND, NY 10314-5333
(646) 417-0747
(718) 865-5134
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
246193
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000600057348
HEALTH PLUS
—
05
—
03179884
—
NY
01
—
060QH1
BLUES CROSS BLUESHIELD
—
01
—
1750734
GHI
—
01
—
3125050
UNITED HEALTHCARE
—
01
—
5190872
CIGNA
—
01
—
9235428
ADENA
—
01
—
ID PH 43101
ELDER PLAN
—
01
—
P4206731
OXFORD
—
Enumeration date
02/29/2008
Last updated
08/21/2012
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