Healthcare Provider Details

I. General information

NPI: 1336132158
Provider Name (Legal Business Name): ARUN CHERVU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5887 GLENRIDGE DR STE 375
SANDY SPRINGS GA
30328-6191
US

IV. Provider business mailing address

250 CHASTAIN RD NW STE 210
KENNESAW GA
30144-3214
US

V. Phone/Fax

Practice location:
  • Phone: 678-229-2800
  • Fax:
Mailing address:
  • Phone: 770-422-0517
  • Fax: 678-638-7015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number39753
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number039753
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: