Provider Demographics
NPI:1306837901
Name:SLAVIN, SAJI VARGHESE (MD)
Entity Type:Individual
Prefix:DR
First Name:SAJI
Middle Name:VARGHESE
Last Name:SLAVIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SAJI
Other - Middle Name:SARAH
Other - Last Name:VARGHESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13572 WATERFORD PL
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-3928
Mailing Address - Country:US
Mailing Address - Phone:804-560-8782
Mailing Address - Fax:804-525-2530
Practice Address - Street 1:13572 WATERFORD PL
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-3928
Practice Address - Country:US
Practice Address - Phone:804-560-8782
Practice Address - Fax:804-525-2530
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231672207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH80414Medicare UPIN