Provider Demographics
NPI:1346646817
Name:SAVANAPRIDI, CHAWIN (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:CHAWIN
Middle Name:
Last Name:SAVANAPRIDI
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:SAVANAPRIDI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9142 PLACER BULLION AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-6200
Mailing Address - Country:US
Mailing Address - Phone:702-355-2538
Mailing Address - Fax:
Practice Address - Street 1:5959 S HUALAPAI WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5586
Practice Address - Country:US
Practice Address - Phone:702-355-2538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-11
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV05063182255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer