Provider Demographics
NPI:1942261821
Name:SAVANI, PARESH DHANJIBHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:PARESH
Middle Name:DHANJIBHAI
Last Name:SAVANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PARESH
Other - Middle Name:D
Other - Last Name:SAVANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:204 JENIFER CT
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-3023
Mailing Address - Country:US
Mailing Address - Phone:321-720-6626
Mailing Address - Fax:
Practice Address - Street 1:204 JENIFER CT
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-3023
Practice Address - Country:US
Practice Address - Phone:321-720-6626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95295208M00000X, 207R00000X, 208M00000X
PA422755207R00000X
WV01357207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL275790700Medicaid
FL275790700Medicaid
FLU8611ZMedicare PIN