Provider Demographics
NPI:1144526138
Name:SARVA, PRAMILA R (MD)
Entity type:Individual
Prefix:MRS
First Name:PRAMILA
Middle Name:R
Last Name:SARVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251-24 57TH AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-2108
Mailing Address - Country:US
Mailing Address - Phone:718-224-3844
Mailing Address - Fax:718-423-6992
Practice Address - Street 1:251-24 57 AVE
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362-2108
Practice Address - Country:US
Practice Address - Phone:718-224-3844
Practice Address - Fax:718-423-6992
Is Sole Proprietor?:No
Enumeration Date:2011-02-08
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128748208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics