Provider Demographics
NPI:1992862817
Name:SAVLIWALA, MOHAMMEDI N (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMEDI
Middle Name:N
Last Name:SAVLIWALA
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 1:43700 WOODWARD AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-5061
Mailing Address - Country:US
Mailing Address - Phone:248-335-0200
Mailing Address - Fax:
Practice Address - Street 1:43700 WOODWARD AVE STE 205
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-5061
Practice Address - Country:US
Practice Address - Phone:248-335-3760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMS046749207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIC3303OtherMCARE
MI382878372OtherPPOM
MIB34532OtherHAP
MI103344OtherCARE CHOICES
MI2584197Medicaid
MA4094156OtherAETNA
MI06326491Medicare ID - Type Unspecified
MI2584197Medicaid