Provider Demographics
NPI:1801976956
Name:SAVU, CALIN A (MD)
Entity type:Individual
Prefix:
First Name:CALIN
Middle Name:A
Last Name:SAVU
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 1:505 E MATTHEWS AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-3144
Mailing Address - Country:US
Mailing Address - Phone:870-972-0411
Mailing Address - Fax:870-933-8011
Practice Address - Street 1:505 E MATTHEWS AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-3144
Practice Address - Country:US
Practice Address - Phone:870-972-0411
Practice Address - Fax:870-933-8011
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE1479208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5K398OtherBLUE CROSS PROVIDER NUMB
ARG46999Medicare UPIN
AR5K398Medicare ID - Type UnspecifiedPROVIDER NUMBER