Provider Demographics
NPI:1942275433
Name:SANIKAPALLY, ROJA RAMANI (MD)
Entity Type:Individual
Prefix:DR
First Name:ROJA
Middle Name:RAMANI
Last Name:SANIKAPALLY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROJA
Other - Middle Name:RAMANI
Other - Last Name:DURGAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2727 PACES FERRY RD SE STE 1-1100
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-6151
Mailing Address - Country:US
Mailing Address - Phone:706-475-5076
Mailing Address - Fax:706-475-6676
Practice Address - Street 1:1199 PRINCE AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606
Practice Address - Country:US
Practice Address - Phone:706-475-5076
Practice Address - Fax:706-475-6676
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA055742207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA340838OtherWELLCARE
GA52703642-002OtherBCBS
GA10045166OtherAMERIGROUP
GA7895146OtherCIGNA
GAP00241606OtherRR MEDICARE-GRP # CC4177
GA792293772AMedicaid
GA8940079OtherUNITED HEALTHCARE
GA340838OtherWELLCARE
I26755Medicare UPIN