Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEMANTH SRIVATSAVA REDDY SANJAMALA
NPI 1093494502
Student in an Organized Health Care Education/Training Program in Fayetteville, NC

Active since July 12, 2023
1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-4000 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Jul 12, 2023 (2 updates tracked since 2023).

About Hemanth Srivatsava Reddy Sanjamala NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEMANTH SRIVATSAVA REDDY SANJAMALA (NPI 1093494502) is an individual student in an organized health care education/training program in Fayetteville, North Carolina, licensed in North Carolina (338695) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1093494502
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHEMANTH SRIVATSAVA REDDY SANJAMALA
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing Address1638 Owen DrFayetteville, NC 28304-3424 · (910) 615-4000
Sole ProprietorNo
Enumeration DateJuly 12, 2023
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
NPI 1093494502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in NC · 338695
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 41378 (OK)
1638 OWEN DR, Fayetteville, NC 28304

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Pharmacist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Practitioner
1638 OWEN DR
FAYETTEVILLE, NC 28304
Hospitalist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Pathology (Anatomic Pathology & Clinical Pathology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Internal Medicine (Medical Oncology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Surgery (Trauma Surgery)
1638 OWEN DR
FAYETTEVILLE, NC 28304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hemanth Srivatsava Reddy Sanjamala's NPI number?

The NPI number for Hemanth Srivatsava Reddy Sanjamala is 1093494502. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Where is Hemanth Srivatsava Reddy Sanjamala located?

Hemanth Srivatsava Reddy Sanjamala practices at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 615-4000.

What is Hemanth Srivatsava Reddy Sanjamala's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Hemanth Srivatsava Reddy Sanjamala was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.