Provider Demographics
NPI:1831115385
Name:SAVVIDES, PANAYIOTIS S (MD)
Entity Type:Individual
Prefix:
First Name:PANAYIOTIS
Middle Name:S
Last Name:SAVVIDES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13400 E SHEA BLVD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-5452
Mailing Address - Country:US
Mailing Address - Phone:602-406-8222
Mailing Address - Fax:
Practice Address - Street 1:625 N 6TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-2155
Practice Address - Country:US
Practice Address - Phone:602-406-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ50329207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000539601OtherANTHEM
OH000000224348OtherUNISON
OH2408451Medicaid
OH363988OtherWELLCARE
OH741832OtherBUCKEYE
OHP00096842OtherRAILROAD MEDICARE
OH7581480OtherAETNA
OH000000539601OtherANTHEM
H85421Medicare UPIN
OHSA4107591Medicare PIN
SA4107594Medicare PIN