Healthcare Provider Details

I. General information

NPI: 1356266852
Provider Name (Legal Business Name): SAI BHAVANA GARIKIPATI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 N ALVERNON WAY
TUCSON AZ
85711-1827
US

IV. Provider business mailing address

10300 W TANGERINE RD APT 9301 APT 9301
MARANA AZ
85653-1635
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-8888
  • Fax: 520-694-1640
Mailing address:
  • Phone: 602-366-5256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR82895
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: