Provider Demographics
NPI:1407846611
Name:SAVUR, VIVEK M (MD)
Entity Type:Individual
Prefix:
First Name:VIVEK
Middle Name:M
Last Name:SAVUR
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 1:7320 WOODLAKE AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1468
Mailing Address - Country:US
Mailing Address - Phone:818-593-2191
Mailing Address - Fax:818-593-2194
Practice Address - Street 1:7320 WOODLAKE AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1468
Practice Address - Country:US
Practice Address - Phone:818-593-2191
Practice Address - Fax:818-593-2194
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-27
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33689174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA33689BMedicare ID - Type Unspecified
CAA84500Medicare UPIN