# EXCEL PRIMARY CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053321315
- **Authorized official:** DR. MEENA VENUGOPAL MD (OWNER)
- **Authorized official phone:** (480) 507-0604

## Contact information

- **Practice address:** 3303 S LINDSAY RD, \#115, GILBERT, AZ 85296-6503
- **Practice address phone:** (480) 507-0604
- **Practice address fax:** (480) 507-0592
- **Mailing address:** 3303 S LINDSAY RD, \#115, GILBERT, AZ 85296-6503
- **Mailing address phone:** (480) 507-0604
- **Mailing address fax:** (480) 507-0592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 30137 | AZ | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 12/07/2010