Healthcare Provider Details

I. General information

NPI: 1760132039
Provider Name (Legal Business Name): VINAYA GOGINENI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 KENNY RD FL 10
COLUMBUS OH
43221-3502
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-685-3333
  • Fax: 614-366-0345
Mailing address:
  • Phone: 614-685-3333
  • Fax: 614-366-0345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.156926
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: