Provider Demographics
NPI:1225080237
Name:SAVIN, EVGENIJE (MD)
Entity Type:Individual
Prefix:
First Name:EVGENIJE
Middle Name:
Last Name:SAVIN
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 1:9825 N 95TH ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4590
Mailing Address - Country:US
Mailing Address - Phone:480-945-2434
Mailing Address - Fax:480-945-2435
Practice Address - Street 1:9825 N 95TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4590
Practice Address - Country:US
Practice Address - Phone:480-945-2434
Practice Address - Fax:480-945-2435
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ25862207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ456055Medicaid
AZ78018Medicare ID - Type Unspecified
AZ456055Medicaid