Provider Demographics
NPI:1609371194
Name:SENTHIL, SAVITA
Entity Type:Individual
Prefix:
First Name:SAVITA
Middle Name:
Last Name:SENTHIL
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 1:360 NUECES ST APT 1903
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-4266
Mailing Address - Country:US
Mailing Address - Phone:510-735-7729
Mailing Address - Fax:
Practice Address - Street 1:360 NUECES ST APT 1903
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-4266
Practice Address - Country:US
Practice Address - Phone:510-735-7729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program