NPIMap

Organization Active NPI

West Valley Internal Medicine Associates LLC

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1154461903
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WEST VALLEY INTERNAL MEDICINE ASSOCIATES LLC
Practice address
17218 N 72ND Dr
Suite100
Glendale, AZ 85308-8562
Phone
(623) 334-8670
Fax
(623) 334-8675
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sudeep Punia, M.D.
Title
Medical Director
Phone
(623) 334-8670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

17218 N 72ND Dr
Suite100
Glendale, AZ 85308-8562

Mailing address

17218 N 72ND Dr
Suite 100
Glendale, AZ 85308-8562
Phone (623) 334-8670

National Provider Directory

National Provider Directory

Locations

7200 W Bell Rd
Ste A2
Glendale, AZ 85308
Phone (623) 334-8670

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1154461903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17218 N 72ND DR",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088562",
            "telephone_number": "623-334-8670",
            "fax_number": "623-334-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17218 N 72ND DR",
            "address_2": "SUITE100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088562",
            "telephone_number": "623-334-8670",
            "fax_number": "623-334-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY INTERNAL MEDICINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "PUNIA",
        "authorized_official_first_name": "SUDEEP",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "623-334-8670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.