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NPI Code Detail

MEDICARE: DR. ROLAND I SAAVEDRA MD

MEDICARE: DR. ROLAND I SAAVEDRA 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
1207Q00000XFamily Medicine Physician25789SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427011089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROLAND I SAAVEDRA MD
Provider Business Mailing Address
First Line : PO BOX 740013
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0013
Country : US
Telephone Number : 312-733-9730
Fax Number :
Provider Business Practice Location Address
First Line : 4400 DORCHESTER RD STE 117
Second Line :
City : CHARLESTON
State : SC
Zip : 29405-6849
Country : US
Telephone Number : 843-278-8291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 10/18/2024

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