Provider Demographics
NPI:1083712723
Name:SAVALIA, NIRAV BABULAL (MD)
Entity Type:Individual
Prefix:DR
First Name:NIRAV
Middle Name:BABULAL
Last Name:SAVALIA
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:180 NEWPORT CENTER DR
Mailing Address - Street 2:SUITE 170
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-6972
Mailing Address - Country:US
Mailing Address - Phone:949-759-0980
Mailing Address - Fax:949-759-0981
Practice Address - Street 1:180 NEWPORT CENTER DR
Practice Address - Street 2:SUITE 170
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-6972
Practice Address - Country:US
Practice Address - Phone:949-759-0980
Practice Address - Fax:949-759-0981
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2009-01-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA94301208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI64813Medicare UPIN
CAW20227Medicare PIN