Healthcare Provider Details

I. General information

NPI: 1366490328
Provider Name (Legal Business Name): PAUL EVANS SAVAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5208 MONTICELLO AVE SUITE 180
WILLIAMSBURG VA
23188
US

IV. Provider business mailing address

4000 COLISEUM DR SUITE 100
HAMPTON VA
23666
US

V. Phone/Fax

Practice location:
  • Phone: 757-645-3929
  • Fax: 757-827-2566
Mailing address:
  • Phone: 757-827-2480
  • Fax: 757-827-2566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number0101057603
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: