Provider Demographics
NPI:1518900059
Name:PURI, SAVITA (MD)
Entity type:Individual
Prefix:
First Name:SAVITA
Middle Name:
Last Name:PURI
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:125 LATTIMORE RD
Mailing Address - Street 2:BORG IMAGING GROUP LLP
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4159
Mailing Address - Country:US
Mailing Address - Phone:585-271-0401
Mailing Address - Fax:585-271-2051
Practice Address - Street 1:125 LATTIMORE RD
Practice Address - Street 2:BORG IMAGING GROUP LLP
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4159
Practice Address - Country:US
Practice Address - Phone:585-271-0401
Practice Address - Fax:585-271-2051
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2023-07-05
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Provider Licenses
StateLicense IDTaxonomies
NY1531662085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02253074Medicaid
NYH57537Medicare UPIN
NY02253074Medicaid