Provider Demographics
NPI:1790974046
Name:K V SAWANT, MD, PLLC
Entity Type:Organization
Organization Name:K V SAWANT, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KALPANA
Authorized Official - Middle Name:V
Authorized Official - Last Name:SAWANT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-589-0146
Mailing Address - Street 1:243 S MAIN ST
Mailing Address - Street 2:SUITE # 156
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-1644
Mailing Address - Country:US
Mailing Address - Phone:585-589-0146
Mailing Address - Fax:585-589-1332
Practice Address - Street 1:243 S MAIN ST
Practice Address - Street 2:SUITE # 156
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-1644
Practice Address - Country:US
Practice Address - Phone:585-589-0146
Practice Address - Fax:585-589-1332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY192024207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty