Healthcare Provider Details

I. General information

NPI: 1053810275
Provider Name (Legal Business Name): ALKEEM SAVAGE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE
ROCHESTER NY
14642-2743
US

IV. Provider business mailing address

9301 GEORGIA AVE
SILVER SPRING MD
20910-1713
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-2964
  • Fax: 585-242-9733
Mailing address:
  • Phone: 301-364-0610
  • Fax: 301-578-2115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License NumberD0097959
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberD0097959
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: