Healthcare Provider Details

I. General information

NPI: 1841446408
Provider Name (Legal Business Name): ANIL PIYA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2008
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 202E
SAVANNAH GA
31406-4834
US

V. Phone/Fax

Practice location:
  • Phone: 912-357-6001
  • Fax: 912-357-6002
Mailing address:
  • Phone: 912-357-6001
  • Fax: 912-357-6002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number073134
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: