Healthcare Provider Details
I. General information
NPI: 1184260416
Provider Name (Legal Business Name): ANIL PIYA MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/21/2019
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
401 MALL BLVD STE 202E
SAVANNAH GA
31406-4834
US
IV. Provider business mailing address
401 MALL BLVD STE 404E
SAVANNAH GA
31406-4862
US
V. Phone/Fax
- Phone: 912-357-6001
- Fax: 912-357-6002
- Phone: 912-357-6001
- Fax: 912-357-6002
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0205X |
| Taxonomy | Pediatric Endocrinology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ANIL
PIYA
Title or Position: OWNER
Credential: MD
Phone: 912-324-9758