Healthcare Provider Details

I. General information

NPI: 1225080237
Provider Name (Legal Business Name): EVGENIJE SAVIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 05/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9825 N 95TH ST SUITE 105
SCOTTSDALE AZ
85258-4590
US

IV. Provider business mailing address

9825 N 95TH ST SUITE 105
SCOTTSDALE AZ
85258-4590
US

V. Phone/Fax

Practice location:
  • Phone: 480-945-2434
  • Fax: 480-945-2435
Mailing address:
  • Phone: 480-945-2434
  • Fax: 480-945-2435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number25862
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: