Provider Demographics
NPI:1225037013
Name:SAVLUK, ROBERT S (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:S
Last Name:SAVLUK
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 1:1660 E. HERNDON SUITE # 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3346
Mailing Address - Country:US
Mailing Address - Phone:559-431-9753
Mailing Address - Fax:559-431-3478
Practice Address - Street 1:1660 E. HERNDON SUITE # 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3346
Practice Address - Country:US
Practice Address - Phone:559-431-9753
Practice Address - Fax:559-431-3478
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG371740207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOG371740Medicaid
A46983Medicare UPIN
CAOOG371740Medicaid