Provider Demographics
NPI:1073581831
Name:SAAVEDRA, MARTHA SPENCER (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:SPENCER
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10301 GEORGIA AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-5020
Mailing Address - Country:US
Mailing Address - Phone:301-754-1950
Mailing Address - Fax:301-754-1965
Practice Address - Street 1:10301 GEORGIA AVE
Practice Address - Street 2:SUITE # 103
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5020
Practice Address - Country:US
Practice Address - Phone:301-754-1950
Practice Address - Fax:301-754-1965
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0041173207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB93366Medicare UPIN