1326534454 NPI number — DR. KALYANA CHAKRAVARTHI SARVEPALLI MD

Table of content: JANE LINNENBRINK R.D.L.D (NPI 1780807099)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326534454 NPI number — DR. KALYANA CHAKRAVARTHI SARVEPALLI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SARVEPALLI
Provider First Name:
KALYANA CHAKRAVARTHI
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326534454
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/01/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
95 ROYAL OAK DR NE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROME
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30165-9335
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-949-5868
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1124 N TENNESSEE ST STE 104
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARTERSVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30120-7938
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
470-684-1448
Provider Business Practice Location Address Fax Number:
888-498-4169
Provider Enumeration Date:
07/01/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  87753 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X , with the licence number: 125071660 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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