Savani-Blackham, Dora V

Savani-Blackham, Dora V is an individual health care provider with primary practice located at 20 Medical Village Dr Suite 355, Edgewood KY 41017-5401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Savani-Blackham, Dora V can be contacted via phone (859) 344-1512.

Contact Information

Primary practice address
20 Medical Village Dr Suite 355 Edgewood KY 41017-5401
Fax: (859) 331-3698
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 30946 Kentucky

Profile Details

NPI number 1730121237
LBN Legal business name Savani-Blackham, Dora V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730121237 NPPES
Kentucky MEDICAID 64309461

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