Sadhana Gonuguntla

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

BP10085719 Issued in TX

Practice address

Texas Tech University Health Sciences Center El Paso
4800 Alberta Avenue MSC 41007
El Paso, TX 79905

Phone

(915) 215-4116

NPI assigned

Apr 27, 2023

Last updated

Oct 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1750079778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DESERT PASS STREET",
            "address_2": "APT 426",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-280-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO",
            "address_2": "4800 ALBERTA AVENUE MSC 41007",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79905",
            "telephone_number": "915-215-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONUGUNTLA",
        "first_name": "SADHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10085719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Gomez, SLP
• Victor Gomez
• Yasmin Celeste Gomez
• Diana M Gomezrocha, EFDA
• Agni Gontar, TAMFT
• Ana Karina Gonzales
• Irene Gonzales, M.D.
• Italia Isabella Gonzales
• Jacob Ray Gonzales, MD
• Jessica Renee Gonzales, MD

• Student in an Organized Health Care Education/Training Program in El Paso, TX
• Providers in El Paso, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.