Provider Demographics
NPI:1689824328
Name:SAVABI, MOJGAN SARAH (MD)
Entity Type:Individual
Prefix:
First Name:MOJGAN
Middle Name:SARAH
Last Name:SAVABI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MOJGAN
Other - Middle Name:SARAH
Other - Last Name:SAVABI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1100 SOUTHFIELD DR
Mailing Address - Street 2:SUITE 1370
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-4498
Mailing Address - Country:US
Mailing Address - Phone:317-837-5571
Mailing Address - Fax:317-837-5580
Practice Address - Street 1:100 HOSPITAL LN
Practice Address - Street 2:SUITE 100
Practice Address - City:DANVILLE
Practice Address - State:IN
Practice Address - Zip Code:46122-1989
Practice Address - Country:US
Practice Address - Phone:317-745-7731
Practice Address - Fax:317-745-7320
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01062944207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200919570Medicaid
IN354590EEEMedicare PIN