Provider Demographics
NPI:1568751659
Name:SAVANT, SANJOT DINKARRAO
Entity Type:Individual
Prefix:DR
First Name:SANJOT
Middle Name:DINKARRAO
Last Name:SAVANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 WOODSTOCK PL
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25314-1734
Mailing Address - Country:US
Mailing Address - Phone:402-968-8979
Mailing Address - Fax:
Practice Address - Street 1:305 WOODSTOCK PL
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25314-1734
Practice Address - Country:US
Practice Address - Phone:402-968-8979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0007238183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist