SARVOTHAM KINI (NPI# 1407964356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407964356 |
| Entity Type | Individual |
| Full Name | SARVOTHAM KINI |
| Other Name | SAM KINI |
| Credential | MD |
| Practice Address |
108 Spear Rd Suite 309 Athens GA 30602-0001 |
| Mailing Address |
3959 White Horse Ln Se Smyrna GA 30080-6408 |
| Practice Telephone | 7065429592 |
| Practice Fax Number | 7067132222 |
| Mailing Telephone | 8434120072 |
| Mailing Fax Number | 7067132222 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 034170 | GA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 13292 | SC | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 034170 | GA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 034170 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003100353A | 05 | |
| SC | 132920 | 05 |
| Street Address |
108 SPEAR RD SUITE 309 |
| City | ATHENS |
| State | GA |
| Zip Code | 30602-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598380719 | Courtney Vickery | Dietitian, Registered | Dw Brooks Dr, Athens, GA 30602 | 2020-06-12 |
| 1891979803 | Psychology Clinic | Psychologist | 139 Psychology Bldg., The University of Georgia, Athens, GA 30602 | 2007-12-27 |
| 1902008188 | A. Michele Lease | Psychologist | 630 Aderhold Hall, University of Georgia, Athens, GA 30602 | 2007-06-01 |
| 1992881841 | Uga Speech and Hearing | Audiologist | 593 Aderhold Hall, Athens, GA 30602 | 2006-10-31 |
| 1437702453 | Anna Catherine Jessup | Specialist/Technologist | 330 River Rd, Athens, GA 30602 | 2019-07-18 |
| 1598072845 | Kendra Cordero Nelson | Physical Therapist | 370 River Road, Athens, GA 30602 | 2010-09-08 |
| 1104013150 | Kellie L Bauer | Speech-Language Pathologist | 593 Aderhold Hall, University of Georgia Speech and Hearing Clinic, Athens, GA 30602 | 2007-10-03 |
| 1699322271 | Michael Comeaux Jr. | Specialist/Technologist | 518 Dw Brooks Drive, Athens, GA 30602-0001 | 2019-08-20 |
| 1942852835 | Megha Danielle Sequeira | Specialist/Technologist | 330 Ramsey Road, Athens, GA 30602-0001 | 2019-07-11 |
| 1124688650 | Earl R. Cooper | Specialist/Technologist | 330 River Road 371 Ramsey Center 371 Ramsey Center, Athens, GA 30602-0001 | 2019-06-17 |
| Find all providers in zip 30602 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346897550 | Leap Medical Services LLC | Internal Medicine | 22375 Troon Dr, Athens, AL 35613-8138 | 2019-08-22 |
| 1083140230 | Leah Anne Reid | Internal Medicine | 1270 Prince Ave., Suite 201, Athens, GA 30606 | 2017-05-10 |
| 1548795701 | Rebekah Danielle Sherlin-chaplin | Internal Medicine | 325 County Road 126, Athens, TN 37303-6770 | 2017-04-25 |
| 1972850055 | Junaid Nasir | Internal Medicine | 5105 Jefferson Rd Ste B, Athens, GA 30607 | 2012-08-08 |
| 1942594973 | Andrew C. Mckown | Internal Medicine | 3320 Old Jefferson Rd Ste 200a, Athens, GA 30607-1478 | 2011-06-07 |
| 1326285537 | W Randolph Purdy | Internal Medicine | 65 Pine Ln, Athens, OH 45701-3426 | 2009-01-09 |
| 1730338815 | Anna Alexander | Internal Medicine | 2142 West Broad Street, Building 200, Kaiser Permanente Athens Medical Center, Athens, GA 30606 | 2008-09-15 |
| 1952567505 | Kuang Shah Chang | Internal Medicine | 3320 Old Jefferson Rd Ste 700, Athens, GA 30607-1465 | 2008-08-04 |
| 1043483720 | James L. Brown, Jr., M.d., P.C. | Internal Medicine | 2090 Prince Ave, Building A, Athens, GA 30606-6047 | 2008-04-02 |
| 1346428356 | Clara Herrin | Internal Medicine | 370 River Rd, Athens, GA 30602-1526 | 2008-02-01 |
| Find all providers in ATHENS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.