Provider Demographics
NPI:1639460959
Name:SAVJANI, PRATHYUSHA (MD)
Entity Type:Individual
Prefix:MRS
First Name:PRATHYUSHA
Middle Name:
Last Name:SAVJANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:PRATHYUSHA
Other - Middle Name:
Other - Last Name:MANDAVILLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 58538
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8538
Mailing Address - Country:US
Mailing Address - Phone:346-250-5521
Mailing Address - Fax:346-200-3253
Practice Address - Street 1:1917 ASHLAND ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-3907
Practice Address - Country:US
Practice Address - Phone:346-250-5521
Practice Address - Fax:346-200-3253
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR4140207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology