Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kavita Vanguru Bollavaram, MD

Individual provider Internal Medicine Physician · NPI 1366479982

Kavita Vanguru Bollavaram, MD is an Internal Medicine Physician in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

VA Clinic 1970 Riverside Pkwy
Lawrenceville, GA 30043
Phone: (404) 417-1713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 047575 (GA)

Record details

NPI number1366479982
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESJuly 8, 2007

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