NPIMap

Organization Active NPI

San Tan Internal Medicine, PLLC

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1164685491
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAN TAN INTERNAL MEDICINE, PLLC
Practice address
4135 S Power Rd
#120
Mesa, AZ 85212-3624
Phone
(480) 813-6699
Fax
(480) 813-6697
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Dr. Sunitha Yalamanchili, M.D.
Title
Physician / Partner
Phone
(480) 813-6699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X AZ Primary

Addresses

Primary practice location

4135 S Power Rd
#120
Mesa, AZ 85212-3624

Mailing address

PO Box 11970
Chandler, AZ 85248-0017
Phone (480) 813-6699

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1164685491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11970",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480017",
            "telephone_number": "480-813-6699",
            "fax_number": "480-813-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD",
            "address_2": "#120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123624",
            "telephone_number": "480-813-6699",
            "fax_number": "480-813-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN TAN INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHILI",
        "authorized_official_first_name": "SUNITHA",
        "authorized_official_title_or_position": "PHYSICIAN / PARTNER",
        "authorized_official_telephone_number": "480-813-6699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.