Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 01069314 | IN |
N | 207PP0204X | Pediatric Emergency Physician | LL28007 | SC |
NPI | 1295823102 |
---|---|
Provider Name | Dr. Heather Rose Saavedra |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Charleston, SC 29425-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 15/02/2021 |