Healthcare Provider Details

I. General information

NPI: 1780528646
Provider Name (Legal Business Name): SVIA PROFESSIONAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4331 E 43RD ST
NORTH LITTLE ROCK AR
72117-2940
US

IV. Provider business mailing address

43 FALSTONE DR
LITTLE ROCK AR
72223-8042
US

V. Phone/Fax

Practice location:
  • Phone: 408-368-7217
  • Fax:
Mailing address:
  • Phone: 408-368-7217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SUBODH R DEVABHAKTUNI
Title or Position: PHYSICIAN
Credential: MD
Phone: 408-368-7217