# GAJALAKSHMI VAKA, MD PC

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

## Provider details

- **NPI number:** 1215376702
- **Authorized official:** GAJALAKSHMI VAKA MD (PROVIDER)
- **Authorized official phone:** (623) 583-2073

## Contact information

- **Practice address:** 7183 W CAMINO DE ORO, PEORIA, AZ 85383-3264
- **Practice address phone:** (623) 583-2073
- **Practice address fax:** (623) 583-1099
- **Mailing address:** PO BOX 1149, PEORIA, AZ 85380-1149
- **Mailing address phone:** (623) 583-2073
- **Mailing address fax:** (623) 583-1099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 29540 | AZ | Yes |

## Other

- **Enumeration date:** 06/18/2013
- **Last updated:** 06/18/2013