Provider Demographics
NPI:1184957813
Name:SAVKUR, SHREEGOURI BHARATH (PA)
Entity type:Individual
Prefix:MS
First Name:SHREEGOURI
Middle Name:BHARATH
Last Name:SAVKUR
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:18 DALE ST
Mailing Address - Street 2:UNIT 4 - D
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-5660
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:628 SALEM ST
Practice Address - Street 2:
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-2340
Practice Address - Country:US
Practice Address - Phone:781-599-1998
Practice Address - Fax:781-599-1221
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAPA3864363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant