Healthcare Provider Details

I. General information

NPI: 1982912663
Provider Name (Legal Business Name): CHRISTIANA SAVVIDOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2010
Last Update Date: 09/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 ABRAHAM FLEXNER WAY SUITE 700
LOUISVILLE KY
40202-1882
US

IV. Provider business mailing address

225 ABRAHAM FLEXNER WAY SUITE 700
LOUISVILLE KY
40202-1882
US

V. Phone/Fax

Practice location:
  • Phone: 502-561-4263
  • Fax: 502-585-8477
Mailing address:
  • Phone: 502-561-4263
  • Fax: 502-585-8477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberFT462
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: