Provider Demographics
NPI:1700886678
Name:BYRAPUNENI, HEMA (MEDICAL DOCTOR)
Entity Type:Individual
Prefix:
First Name:HEMA
Middle Name:
Last Name:BYRAPUNENI
Suffix:
Gender:F
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 PROMINENCE CT
Mailing Address - Street 2:STE 230
Mailing Address - City:DAWSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30534-8951
Mailing Address - Country:US
Mailing Address - Phone:706-216-1500
Mailing Address - Fax:706-216-1510
Practice Address - Street 1:133 PROMINENCE CT
Practice Address - Street 2:STE 230
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-8951
Practice Address - Country:US
Practice Address - Phone:706-216-1500
Practice Address - Fax:706-216-1510
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA054979207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA993107666IMedicaid
GA993107666FMedicaid
GA993107666GMedicaid
GA995107666AMedicaid
GA993107666HMedicaid
GA993107666FMedicaid
GA18085Medicare UPIN
GA995107666AMedicaid
I8085Medicare UPIN