MEDICARE: SVSN LLC

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	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1356222046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SVSN LLC

Provider Business Mailing Address
First Line	:	5920 W WILLIAM CANNON DR BLDG 6
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-2037
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5920 W WILLIAM CANNON DR BLDG 6
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-2037
Country	:	US
Telephone Number	:	503-991-1819
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NILESH PATEL
Credential	:	MD
Telephone Number	:	503-991-1819

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	09/09/2025

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Directions to “SVSN LLC ” Practice Location

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