Organization
SOVANI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTWANA VINAYAK SOVANI MD (OWNER)
(304) 771-0217
Entity
Organization
Contact information
Practice address
2270 S RIDGEVIEW DR STE 207, YUMA, AZ 85364-8880
(928) 783-4640
(928) 276-4730
Mailing address
3685 S 18TH AVE, YUMA, AZ 85365-3943
(304) 771-0217
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37029
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
613012
—
AZ
Enumeration date
01/25/2018
Last updated
01/25/2018
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