Basic Information
| Provider Information | |||||||||
| NPI: | 1144656950 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SAVITHA KASTURI, DO PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 279 S YONGE STREET | ||||||||
| Address2: | |||||||||
| City: | ORMOND BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32174 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3869449704 | ||||||||
| FaxNumber: | 3869449746 | ||||||||
| Practice Location | |||||||||
| Address1: | 279 S YONGE STREET | ||||||||
| Address2: | |||||||||
| City: | ORMOND BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32174 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3869449704 | ||||||||
| FaxNumber: | 3869449746 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2013 | ||||||||
| LastUpdateDate: | 02/21/2018 | ||||||||
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| AuthorizedOfficialLastName: | KASTURI | ||||||||
| AuthorizedOfficialFirstName: | SAVITHA | ||||||||
| AuthorizedOfficialMiddleName: | BHAT | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 3869449704 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OS10426 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.