Provider Demographics
NPI:1497469308
Name:SAVA PODIATRY AND WELLNESS CENTERS LLC
Entity Type:Organization
Organization Name:SAVA PODIATRY AND WELLNESS CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KINNA
Authorized Official - Middle Name:ASHOK
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-293-5288
Mailing Address - Street 1:1675 CUMBERLAND PKWY SE STE 201
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6360
Mailing Address - Country:US
Mailing Address - Phone:561-293-5288
Mailing Address - Fax:
Practice Address - Street 1:1675 CUMBERLAND PKWY SE STE 201
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6360
Practice Address - Country:US
Practice Address - Phone:561-293-5288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty