MEDICARE: DR. SAVIRA PAI D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	0547621	NY

General Provider Information

NPI Number	:	1104157874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAVIRA PAI D.D.S

Provider Business Mailing Address
First Line	:	3243 90TH ST
Second Line	:	APT301
City	:	EAST ELMHURST
State	:	NY
Zip	:	11369-2357
Country	:	US
Telephone Number	:	718-651-3331
Fax Number	:

Provider Business Practice Location Address
First Line	:	3243 90TH ST
Second Line	:	APT301
City	:	EAST ELMHURST
State	:	NY
Zip	:	11369-2357
Country	:	US
Telephone Number	:	718-651-3331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2010
Last Update Date	:	01/20/2010

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