Healthcare Provider Details

I. General information

NPI: 1841421500
Provider Name (Legal Business Name): SARITHA BOYAPATI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2009
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 ENGLISH RD STE 220
ROCKY MOUNT NC
27804-6032
US

IV. Provider business mailing address

PO BOX 7039
ROCKY MOUNT NC
27804-0039
US

V. Phone/Fax

Practice location:
  • Phone: 252-313-8025
  • Fax: 704-812-7667
Mailing address:
  • Phone: 252-313-8025
  • Fax: 704-812-7667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number2013-01162
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: