| NPI | 1265503221 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-11-13 |
| Last Updated | 2010-04-09 |
| Mailing Address | 19636 N 27th Ave, #207 Phoenix, AZ 85027 United States Phone: (623) 580-7240 | Fax: (623) 580-7244 📍 View Map |
| Primary Practice Address | 19636 N 27th Ave, #207 Phoenix, AZ 85027 United States Phone: (623) 580-7240 | Fax: (623) 580-7244 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | AZ | 477845 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | AZ | 27607 |
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About NPI 1265503221
Shailaja Gunnala MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1265503221. The primary specialty listed is Internal Medicine. The provider is located in Phoenix, AZ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1265503221?
NPI 1265503221 belongs to Shailaja Gunnala MD, a Internal Medicine in Phoenix, AZ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1265503221 active?
The current status of NPI 1265503221 in the NPPES registry is Active. The record was last updated on 2010-04-09.
What specialty is NPI 1265503221?
NPI 1265503221 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1265503221?
You can verify NPI 1265503221 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1265503221?
The primary practice address on file for NPI 1265503221 is 19636 N 27th Ave, Phoenix, AZ 85027. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1265503221 issued?
NPI 1265503221 was first issued (enumerated) on 2006-11-13. The NPPES record was last updated on 2010-04-09.
Practice Location Map
Shailaja Gunnala is located at 19636 N 27th Ave, Phoenix, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Shailaja Gunnala. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1265503221. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 27607 | AZ |