Healthcare Provider Details

I. General information

NPI: 1396726477
Provider Name (Legal Business Name): HELEN SAVA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 08/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TROOP MEDICAL CLINIC #2 800 MONROE AVENUE
FT. EUSTIS VA
23604
US

IV. Provider business mailing address

TROOP MEDICAL CLINIC #2 576 JEFFERSON AVENUE
FT. EUSTIS VA
23604
US

V. Phone/Fax

Practice location:
  • Phone: 757-314-7654
  • Fax:
Mailing address:
  • Phone: 757-314-7654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number37412
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101264957
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: