Provider Demographics
NPI:1083765820
Name:SALVI, SHARAD NARANDAS (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARAD
Middle Name:NARANDAS
Last Name:SALVI
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 1:4440 W.95TH STREET
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453
Mailing Address - Country:US
Mailing Address - Phone:708-684-4094
Mailing Address - Fax:708-684-5141
Practice Address - Street 1:4440 W.95TH STREET
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453
Practice Address - Country:US
Practice Address - Phone:708-684-4094
Practice Address - Fax:708-684-5141
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01620238OtherBC-BS GROUP PROVIDER NUMB
IL685011Medicare ID - Type Unspecified
IL01620238OtherBC-BS GROUP PROVIDER NUMB