Organization Active NPI

P.Saravanan, MD.,SC.

  • Primary Care Clinic/Center
  • Champaign, IL
National Provider Identifier
1821266792
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
P.SARAVANAN, MD.,SC.
Practice address
2407 S Neil St
Suite 1a
Champaign, IL 61820-7721
Phone
(217) 352-6666
Fax
(217) 352-6683
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pathanjali Saravanan, MD
Title
President
Phone
(217) 352-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X IL Primary

Addresses

Primary practice location

2407 S Neil St
Suite 1a
Champaign, IL 61820-7721

Mailing address

2407 S Neil St
Suite 1a
Champaign, IL 61820-7721
Phone (217) 352-6666

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1821266792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 S NEIL ST",
            "address_2": "SUITE 1A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207721",
            "telephone_number": "217-352-6666",
            "fax_number": "217-352-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 S NEIL ST",
            "address_2": "SUITE 1A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207721",
            "telephone_number": "217-352-6666",
            "fax_number": "217-352-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.SARAVANAN, MD.,SC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "SARAVANAN",
        "authorized_official_first_name": "PATHANJALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-352-6666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.