Individual
DR. VINAYA K. PUPPALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5505 ROSWELL RD STE 350, ATLANTA, GA 30342-1995
(470) 827-3648
Mailing address
403 PERMIAN WAY STE D, VILLA RICA, GA 30180-3226
(470) 827-3648
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
036126601
IL
208VP0000X
Pain Medicine Physician
71014
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
71014
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003142006
—
GA
Enumeration date
08/05/2008
Last updated
12/30/2025
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