Provider Demographics
NPI:1891774691
Name:JONEJA, SAVITA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAVITA
Middle Name:
Last Name:JONEJA
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 1:3529 STATE ROUTE 257
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:PA
Mailing Address - Zip Code:16346-2931
Mailing Address - Country:US
Mailing Address - Phone:814-677-7338
Mailing Address - Fax:814-670-0453
Practice Address - Street 1:3529 STATE ROUTE 257
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346-2931
Practice Address - Country:US
Practice Address - Phone:814-677-7338
Practice Address - Fax:814-670-0453
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050805L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015877480005Medicaid
PA110212500OtherRAILROAD MEDICARE
PA470277Medicare PIN
PA0015877480005Medicaid