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General NPI Number Information
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NPI Number | 1013005735
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Entity Type | Individual
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Provider Name | SANTWANA VINAYAK SOVANI MD
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 2400 S AVENUE A
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City | YUMA
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State | AZ
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Zip | 85364-7170
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Country | US
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Telephone | 928-344-2000
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Fax | 928-336-7430
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Provider Business Mailing Address
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Address Line | 2000 EOFF ST
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City | WHEELING
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State | WV
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Zip | 26003-3823
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Country | US
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Telephone | 304-234-0123
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 20914
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME148970
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License Number State | FL
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