Hemanth Srivatsava Reddy Sanjamala, is a
Student In An Organized Health Care Education/training Program physician based in Fayetteville, North Carolina. Hemanth Srivatsava Reddy Sanjamala is licensed to practice in North Carolina (license number 338695) and his current practice location is 1638 Owen Dr, Fayetteville, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 615-4000.
NPI number for Hemanth Srivatsava Reddy Sanjamala is 1093494502 and his current mailing address is 1638 Owen Dr, Fayetteville, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093494502.
Physician's Profile
| Full Name | Hemanth Srivatsava Reddy Sanjamala |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1638 Owen Dr, Fayetteville, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093494502
- Provider Enumeration Date: 07/12/2023
- Last Update Date: 07/08/2026
Medical Identifiers
Medical identifiers for Hemanth Srivatsava Reddy Sanjamala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093494502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 41378 (Oklahoma) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 338695 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hemanth Srivatsava Reddy Sanjamala is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Hemanth Srivatsava Reddy Sanjamala,
1638 Owen Dr,
Fayetteville, NC 28304-3424
Ph: (910) 615-4000 | Hemanth Srivatsava Reddy Sanjamala,
1638 Owen Dr,
Fayetteville, NC 28304-3424
Ph: (910) 615-4000 |
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