P Praxis·MD
● Active Type 1 · Individual

Kavita Vanguru Bollavaram, M.D

Internal Medicine·Lawrenceville, GA· NPI 1366479982 · Enumerated 2006 · 19 years on NPI
Bollavaram is 1 of 119 internal medicine providers in Lawrenceville and 1 of 5027 in Georgia.
NPI age
19 years
Enumerated 2006-06-27
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5027 active internal medicine providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
Va Clinic, 1970 Riverside Parkway
Lawrenceville, GA 30043
📞 4044171713
Mailing address
2224 Glenmore Ln
Snellville, GA 300785650
📞 7709851870

Specialties

  • Internal Medicine Primary
    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,...
    GA license #047575 taxonomy 207R00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new internal medicine providers have been added in Lawrenceville in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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