Provider Demographics
NPI:1538196985
Name:ARIYARATNA, SAVITRI (MD)
Entity type:Individual
Prefix:
First Name:SAVITRI
Middle Name:
Last Name:ARIYARATNA
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 1:22999 HWY 59
Mailing Address - Street 2:SUITE 218
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339
Mailing Address - Country:US
Mailing Address - Phone:218-361-4600
Mailing Address - Fax:
Practice Address - Street 1:22999 HWY 59
Practice Address - Street 2:SUITE 218
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339
Practice Address - Country:US
Practice Address - Phone:281-361-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0616207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX106316605Medicaid
TX145127001Medicaid
TX143859001Medicaid
TX143859002Medicaid
TX145127001Medicaid
TX85482KMedicare PIN
TX8B3017Medicare PIN
TX8388N0Medicare PIN