Provider Demographics
NPI:1497711964
Name:SAVARIRAYAN, SUNIL S (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:S
Last Name:SAVARIRAYAN
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 1:205 MARY HIGGINSON LN
Mailing Address - Street 2:LEVEL 1
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-2658
Mailing Address - Country:US
Mailing Address - Phone:724-438-8765
Mailing Address - Fax:724-438-3911
Practice Address - Street 1:205 MARY HIGGINSON LN
Practice Address - Street 2:LEVEL 1
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2658
Practice Address - Country:US
Practice Address - Phone:724-438-8765
Practice Address - Fax:724-438-3911
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD065657L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG83268Medicare UPIN
PA161629Medicare ID - Type Unspecified