Provider Demographics
NPI:1235100629
Name:SAVANT, SAPNA S (MD)
Entity Type:Individual
Prefix:
First Name:SAPNA
Middle Name:S
Last Name:SAVANT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-2932
Mailing Address - Country:US
Mailing Address - Phone:508-845-8520
Mailing Address - Fax:508-845-8534
Practice Address - Street 1:555 MAIN ST
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-2932
Practice Address - Country:US
Practice Address - Phone:508-845-8520
Practice Address - Fax:508-845-8534
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA155472207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherHEALTHCARE VALUE MGMT
J19300OtherBLUE CARE ELECT
J19300OtherBLUE SHIELD HMO BLUE
2039835OtherFIRST HEALTH
MAA28584OtherMEDICARE ID
AA1246OtherHARVARD PILGRIM HEALTHCAR
042472266OtherTRICARE CHAMPUS
2752269OtherCIGNA HEALTH PLAN
419321OtherTUFTS HEALTH PLAN
J19300OtherBLUE SHIELD INDEMNITY
042472266OtherTHREE RIVERS
7189606OtherAETNA US HEALTHCARE
042472266OtherONE HEALTH PLAN
042472266OtherPRIVATE HEALTHCARE SYSTEM
33818OtherFALLON COMMUNITY HEALTH P
0401698OtherEVERCARE
MA3186091Medicaid
4125321OtherMVP HEALTH CARE
2752269OtherCIGNA HEALTH PLAN