Healthcare Provider Details

I. General information

NPI: 1013358639
Provider Name (Legal Business Name): TEJASWINI JOGINPALLY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2013
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 SERVICE RD RM A225
EAST LANSING MI
48824-1376
US

IV. Provider business mailing address

788 SERVICE RD RM B301
EAST LANSING MI
48824-7013
US

V. Phone/Fax

Practice location:
  • Phone: 517-353-4941
  • Fax: 517-432-3145
Mailing address:
  • Phone: 517-353-5100
  • Fax: 517-432-2759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036140564
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301102860
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036140564
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number105717
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: