Dr. Uma Gunnala M.D., P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25443 Issued in AZ

Legal business name

DR. UMA GUNNALA M.D., P.C.

Practice address

20045 N 19TH Ave
BLDG 11, Suite#165
Phoenix, AZ 85027-4254

Phone

(623) 572-6791

Fax

(623) 572-7099

NPI assigned

Sep 12, 2017

Organization subpart

No

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

Authorized official

Name

Uma Gunnala, MD

Title

President

Phone

(623) 572-6791

Specialties & licenses 1

Addresses

Other names 1

• Uma Gunnala M.D. Other name

Locations

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1861911786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20045 N 19TH AVE",
            "address_2": "BLDG 11, SUITE#165",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274254",
            "telephone_number": "623-572-6791",
            "fax_number": "623-572-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20045 N 19TH AVE",
            "address_2": "BLDG 11, SUITE#165",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274254",
            "telephone_number": "623-572-6791",
            "fax_number": "623-572-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. UMA GUNNALA M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "GUNNALA",
        "authorized_official_first_name": "UMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-572-6791",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "25443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uma Gunnala M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Primary Care Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.