Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 20914 | WV |
NPI | 1013005735 |
---|---|
Provider Name | Santwana Vinayak Sovani |
First Address | Wheeling, WV 26003-3823 |
Second Address | Yuma, AZ 85364-7170 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 19/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
613012 | (05) | AZ |
H64342 | (02) | WV |