Healthcare Provider Details

I. General information

NPI: 1952978348
Provider Name (Legal Business Name): SARVANI GINJUPALLI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2021
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1826 VETERANS BLVD
DUBLIN GA
31021-3631
US

IV. Provider business mailing address

3832 HONORS WAY
AUGUSTA GA
30907-9143
US

V. Phone/Fax

Practice location:
  • Phone: 800-595-5229
  • Fax:
Mailing address:
  • Phone: 334-561-3755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01097439A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number01097439A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: