Provider Demographics
NPI:1609813336
Name:SAWANT, KALPANA V (MD)
Entity Type:Individual
Prefix:DR
First Name:KALPANA
Middle Name:V
Last Name:SAWANT
Suffix:
Gender:F
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:A.T.AUGUSTA MILITARY MEDICAL CENTER
Mailing Address - Street 2:9300 DEWITT LOOP, INT MED. CLINIC
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060
Mailing Address - Country:US
Mailing Address - Phone:571-231-1022
Mailing Address - Fax:571-231-6633
Practice Address - Street 1:A.T.AUGUSTA MILITARY MEDICAL CENTER
Practice Address - Street 2:9300 DEWITT LOOP, INT MED. CLINIC
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060
Practice Address - Country:US
Practice Address - Phone:571-231-1022
Practice Address - Fax:571-231-6633
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192024207RA0000X
VA010158526207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF55043Medicare UPIN
NYAA1279Medicare ID - Type Unspecified