# PUNYAKAM PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AVISTA Medical Center & Weight Loss
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073807202
- **Authorized official:** CHAD GAMMAGE (CEO)
- **Authorized official phone:** (480) 892-1212

## Contact information

- **Practice address:** 690 E WARNER RD STE 133, GILBERT, AZ 85296-3057
- **Practice address phone:** (480) 892-1212
- **Practice address fax:** (480) 892-4941
- **Mailing address:** 690 E WARNER RD STE 133, GILBERT, AZ 85296-3057
- **Mailing address phone:** (480) 892-1212
- **Mailing address fax:** (480) 892-4941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 28418 | AZ | Yes |

## Other

- **Enumeration date:** 06/06/2011
- **Last updated:** 02/08/2022