Healthcare Provider Details

I. General information

NPI: 1518900059
Provider Name (Legal Business Name): SAVITA PURI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 07/05/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 LATTIMORE RD BORG IMAGING GROUP LLP
ROCHESTER NY
14620-4159
US

IV. Provider business mailing address

125 LATTIMORE RD BORG IMAGING GROUP LLP
ROCHESTER NY
14620-4159
US

V. Phone/Fax

Practice location:
  • Phone: 585-271-0401
  • Fax: 585-271-2051
Mailing address:
  • Phone: 585-271-0401
  • Fax: 585-271-2051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number153166
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: