Provider Demographics
NPI:1912162934
Name:KASTURI, SAVITHA BHAT (DO)
Entity type:Individual
Prefix:DR
First Name:SAVITHA
Middle Name:BHAT
Last Name:KASTURI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SAVITHA
Other - Middle Name:
Other - Last Name:BHAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:279 S YONGE ST
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-6257
Mailing Address - Country:US
Mailing Address - Phone:386-944-9704
Mailing Address - Fax:386-947-7951
Practice Address - Street 1:279 S YONGE ST
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-6257
Practice Address - Country:US
Practice Address - Phone:386-944-9704
Practice Address - Fax:386-947-7951
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10426204D00000X, 207PE0004X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services