Provider Demographics
NPI:1457409682
Name:SAVARIRAYAN, DOROTHY (MD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:
Last Name:SAVARIRAYAN
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 1:3356 W BALL RD STE 205
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-3728
Mailing Address - Country:US
Mailing Address - Phone:714-761-0332
Mailing Address - Fax:714-761-8792
Practice Address - Street 1:3356 W BALL RD STE 205
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-3728
Practice Address - Country:US
Practice Address - Phone:714-761-0332
Practice Address - Fax:714-761-8792
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA295742084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA25816Medicare UPIN
CAWA29574AMedicare PIN