Provider Demographics
NPI:1851348494
Name:SAVAS, VICKY (MD)
Entity Type:Individual
Prefix:
First Name:VICKY
Middle Name:
Last Name:SAVAS
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 1:29201 TELEGRAPH RD
Mailing Address - Street 2:SUITE 420
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1331
Mailing Address - Country:US
Mailing Address - Phone:248-356-5033
Mailing Address - Fax:248-356-0773
Practice Address - Street 1:29201 TELEGRAPH RD
Practice Address - Street 2:SUITE 420
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1331
Practice Address - Country:US
Practice Address - Phone:248-356-5033
Practice Address - Fax:248-356-0773
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIVS048920207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2820679Medicaid
F27406Medicare UPIN
MI2820679Medicaid