MEDICARE: PHILLIP SAVIOLAKIS MD

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	207L00000X	Anesthesiology Physician	0101253765	VA

General Provider Information

NPI Number	:	1275768053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILLIP SAVIOLAKIS MD

Provider Business Mailing Address
First Line	:	607 HERNDON PKWY STE 101
Second Line	:
City	:	HERNDON
State	:	VA
Zip	:	20170-5477
Country	:	US
Telephone Number	:	703-471-0919
Fax Number	:

Provider Business Practice Location Address
First Line	:	6430 ROCKLEDGE DR STE 160
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1847
Country	:	US
Telephone Number	:	703-471-0919
Fax Number	:

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

Provider Enumeration Date	:	05/21/2009
Last Update Date	:	04/12/2022

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