MEDICARE: SHELLY N SAVANT MD 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	174400000X	Specialist	025564	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538113741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHELLY N SAVANT MD LLC

Provider Business Mailing Address
First Line	:	326 SETTLERS TRACE BLVD STE 201-C
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6091
Country	:	US
Telephone Number	:	337-456-2403
Fax Number	:	337-412-6436

Provider Business Practice Location Address
First Line	:	326 SETTLERS TRACE BLVD STE 201-C
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6091
Country	:	US
Telephone Number	:	337-456-2403
Fax Number	:	337-412-6436

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. SHELLY N SAVANT
Credential	:	MD
Telephone Number	:	337-456-2403

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	03/26/2026

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