| Dr S Gunnala Md Pc | |
|
19636 N 27th Ave Ste 207 Phoenix AZ 85027-4015 | |
| (623) 580-7245 | |
| (602) 864-1401 |
| Full Name | Dr S Gunnala Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 19636 N 27th Ave Ste 207, Phoenix, Arizona |
| Authorized Official Name and Position | Shaun Kanaka (BILLING MANAGER) |
| Authorized Official Contact | 4802253065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr S Gunnala Md Pc 19636 N 27th Ave Ste 207 Phoenix AZ 85027-4015 Ph: (623) 580-7245 | Dr S Gunnala Md Pc 19636 N 27th Ave Ste 207 Phoenix AZ 85027-4015 Ph: (623) 580-7245 |
| NPI Number | 1275840027 |
|---|---|
| Provider Enumeration Date | 08/31/2010 |
| Last Update Date | 08/31/2010 |
| Medicare PECOS PAC ID | 4981720109 |
|---|---|
| Medicare Enrollment ID | O20100924001183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275840027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 27607 (Arizona) | Primary |
| Provider Name | Shailaja Gunnala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265503221 PECOS PAC ID: 1052437282 Enrollment ID: I20100924001238 |
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