Provider Demographics
NPI:1053654863
Name:SAVITSKI, ALIAKSANDR (MD)
Entity Type:Individual
Prefix:
First Name:ALIAKSANDR
Middle Name:
Last Name:SAVITSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3046
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-0746
Mailing Address - Country:US
Mailing Address - Phone:806-354-1000
Mailing Address - Fax:806-351-7413
Practice Address - Street 1:1501 S COULTER ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1770
Practice Address - Country:US
Practice Address - Phone:806-351-7410
Practice Address - Fax:806-351-7413
Is Sole Proprietor?:No
Enumeration Date:2013-03-29
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME152475207R00000X
390200000X
TXQ6789207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8FX242OtherBCBS OF TX
TX3581944-01Medicaid
TX3581944-01Medicaid