Provider Demographics
NPI:1184650699
Name:GOUD, SAVITRI P (MD)
Entity Type:Individual
Prefix:
First Name:SAVITRI
Middle Name:P
Last Name:GOUD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7601 EAST IMPERIAL HWY; BLDG 100, ROOM 130
Mailing Address - Street 2:RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242
Mailing Address - Country:US
Mailing Address - Phone:562-401-7929
Mailing Address - Fax:310-222-2882
Practice Address - Street 1:7601 EAST IMPERIAL HWY
Practice Address - Street 2:BLDG 100, ROOM 130
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242
Practice Address - Country:US
Practice Address - Phone:562-401-7929
Practice Address - Fax:562-218-0853
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2016-01-06
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Provider Licenses
StateLicense IDTaxonomies
CAA060808207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF88887Medicare UPIN