Provider Demographics
NPI:1861574980
Name:SAVALIA, RAMESH (MD)
Entity type:Individual
Prefix:DR
First Name:RAMESH
Middle Name:
Last Name:SAVALIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8154 W 157TH ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-5921
Mailing Address - Country:US
Mailing Address - Phone:773-638-6655
Mailing Address - Fax:773-638-0955
Practice Address - Street 1:701 S PULASKI RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60624-3653
Practice Address - Country:US
Practice Address - Phone:773-638-6655
Practice Address - Fax:773-638-0955
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2008-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD15873Medicare UPIN
IL760460Medicare PIN