MEDICARE: DR. NIRAV BABULAL SAVALIA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	A94301	CA

General Provider Information

NPI Number	:	1083712723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIRAV BABULAL SAVALIA M.D.

Provider Business Mailing Address
First Line	:	180 NEWPORT CENTER DR
Second Line	:	SUITE 170
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-6972
Country	:	US
Telephone Number	:	949-759-0980
Fax Number	:	949-759-0981

Provider Business Practice Location Address
First Line	:	180 NEWPORT CENTER DR
Second Line	:	SUITE 170
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-6972
Country	:	US
Telephone Number	:	949-759-0980
Fax Number	:	949-759-0981

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	01/21/2009

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