Provider Demographics
NPI:1922293430
Name:SVOREN, ELANA (MD)
Entity Type:Individual
Prefix:DR
First Name:ELANA
Middle Name:
Last Name:SVOREN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELANA
Other - Middle Name:
Other - Last Name:METLITZKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:160 ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4560
Mailing Address - Country:US
Mailing Address - Phone:802-747-3602
Mailing Address - Fax:802-747-3847
Practice Address - Street 1:160 ALLEN ST
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4560
Practice Address - Country:US
Practice Address - Phone:802-747-3602
Practice Address - Fax:802-747-3847
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ37147207P00000X
VT042.0012743207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine